Individual
MR. BILLY WAYNE FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 CARPENTER COURT, BAKERSFIELD, CA 93311-3532
(661) 665-2356
(661) 665-2356
Mailing address
1106 CARPENTER COURT, BAKERSFIELD, CA 93311-3532
(661) 665-2356
(661) 665-2356
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
08 00106496
CA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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