Search › Arizona › 2355S0801X
Samantha Fannin
NPI 1124789052 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4327 W Michigan Ave
Glendale, AZ 85308 - Phone
- (623) 986-9533
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-03
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 Arizona