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Monick Fanba
NPI 1093196990 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2502 Moores Plains Blvd
Upper Marlboro, MD 20774 - Phone
- (240) 510-5218
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland