MICHELLE AIDA FANNON

SACRAMENTO, CA
NPI1053655902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  27986)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
Dr. MICHELLE AIDA FANNON PT, DPT
2723 T ST
SACRAMENTO, CA 95816-7323
Phone number: 916-612-8624
Mailing Address
Dr. MICHELLE AIDA FANNON PT, DPT
2723 T ST
SACRAMENTO, CA 95816-7323
Phone number: 916-612-8624
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