KRISTAN NICOLE FANECK

ALLENTOWN, PA
NPI1245448513
Former NameKRISTAN NICOLE HOSAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA052837)
Enumeration Date2007-05-19
Last Update Date2017-02-21
Business Address
Ms. KRISTAN NICOLE FANECK PAC
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103-6224
Phone number: 610-402-9116
Mailing Address
Ms. KRISTAN NICOLE FANECK PAC
PO BOX 783311
PHILADELPHIA, PA 19178-3311
Phone number:
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