ISMAEL D FANNY

MADISON, WI
NPI1144397936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  260333-30)
Enumeration Date2006-11-29
Last Update Date2024-08-23
Business Address
ISMAEL D FANNY LPN
116 BAY VW
MADISON, WI 53715-1402
Phone number: 608-255-1914
Mailing Address
ISMAEL D FANNY LPN
18 RIDGEVIEW CT APT 5
MADISON, WI 53704-4383
Phone number: 608-301-7527
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