Organization
FANNA CARE LLC
Active
Other names
Fanna Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FUANJIA NJUKENG FUANGUNYI NP (C.E.O)
(240) 643-0558
Entity
Organization
Contact information
Practice address
6914 S BITTERCRESS RD, TUCSON, AZ 85756-5147
(240) 643-0558
Mailing address
6914 S BITTERCRESS RD, TUCSON, AZ 85756-5147
(240) 643-0558
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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