Tiffany Lyn Fonagy A.T.C., P.E.S.

NPI 1952450694 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1952450694
Gender Female
Enumeration Date 01/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
75 EVELYN DR
MILLERSBURG PA, 17061-1258, US
Phone (717) 692-4708
Fax (717) 692-5464
Business Location
4175 MOUNTAIN VIEW RD APT 109
MECHANICSBURG PA, 17050-7628, US
Phone (717) 732-1819
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Pennsylvania
License Number RTO000015
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According to our database, Tiffany Lyn Fonagy A.T.C., P.E.S. NPI is 1952450694, taxonomy code is 2255A2300X and license number is RTO000015, license state is located at Pennsylvania. Tiffany Lyn Fonagy A.T.C., P.E.S. physically located at 75 Evelyn Dr, Millersburg PA, 17061-1258. NPI Number Tiffany Lyn Fonagy A.T.C., P.E.S. has the Individual type.

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1952450694 NPI number is provided on an as is basis without warranty of any kind. 1952450694 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Lyn Fonagy A.T.C., P.E.S. are for informational purposes only.