Individual
STEVEN FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 AUTUMN DR, DUNBAR, WV 25064-1203
(304) 989-5462
Mailing address
121 AUTUMN DR, DUNBAR, WV 25064-1203
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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