MARLEY JANE FANNING

NEW YORK, NY
NPI1093685059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  034650)
Enumeration Date2025-11-06
Last Update Date2025-11-06
Business Address
MARLEY JANE FANNING
1901 1ST AVE STE 12A19
NEW YORK, NY 10029-7494
Phone number: 212-423-6262
Mailing Address
MARLEY JANE FANNING
1112 EDGEWATER CLUB RD
WILMINGTON, NC 28411-9355
Phone number: 910-777-3359