Faith Fann RDH

NPI 1003233909 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1003233909
Gender Female
Enumeration Date 03/28/2014
Last Updated 03/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4241 HIGHWAY 14 WEST
CHRISTOPHER IL, 62822, US
Phone (618) 724-2401
Fax
Business Location
PO BOX 155
CHRISTOPHER IL, 62822-0155, US
Phone (618) 724-2401
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Illinois
License Number 020014613
Remove 1003233909 NPI Number
 

According to our database, Faith Fann RDH NPI is 1003233909, taxonomy code is 124Q00000X and license number is 020014613, license state is located at Illinois. Faith Fann RDH physically located at 4241 Highway 14 West, Christopher IL, 62822. NPI Number Faith Fann RDH has the Individual type.

Sponsored links

1003233909 NPI number is provided on an as is basis without warranty of any kind. 1003233909 is maintained by the National Plan & Provider Enumeration System. The contents of Faith Fann RDH are for informational purposes only.