Arla Fanning

NPI 1164562849 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1164562849
Gender Female
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
403 PINE ST
BOX A
CALLAO MO, 63534-0205, US
Phone (660) 768-5541
Fax (660) 768-5699
Business Location
1718 STRATFORD DR
MACON MO, 63552-1962, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 019235
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According to our database, Arla Fanning NPI is 1164562849, taxonomy code is 235Z00000X and license number is 019235, license state is located at Missouri. Arla Fanning physically located at 403 Pine St, Callao MO, 63534-0205. NPI Number Arla Fanning has the Individual type.

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1164562849 NPI number is provided on an as is basis without warranty of any kind. 1164562849 is maintained by the National Plan & Provider Enumeration System. The contents of Arla Fanning are for informational purposes only.