FAITH FANN

CHRISTOPHER, IL
NPI1003233909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020014613)
Enumeration Date2014-03-28
Last Update Date2014-03-28
Business Address
-- FAITH FANN RDH
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
Mailing Address
-- FAITH FANN RDH
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2401