Individual
ANNEMARIE E FANSELAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 W HUNTINGTON DR, SUITE 320, ARCADIA, CA 91007-3462
(626) 447-3516
(626) 447-8546
Mailing address
133 N ALTADENA DR, 2ND FLOOR, PASADENA, CA 91107-7325
(626) 397-8335
(626) 397-8350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A064663
CA
Other
Enumeration date
02/06/2006
Last updated
01/21/2014
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