GINA MARIE FASANO

MURFREESBORO, TN
NPI1255958138
Former NameGINA MARIE COLLESANO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  4058)
Enumeration Date2020-06-26
Last Update Date2024-09-03
Business Address
GINA MARIE FASANO PA-C
1800 MEDICAL CENTER PKWY
MURFREESBORO, TN 37129-2567
Phone number: 615-656-7411
Mailing Address
GINA MARIE FASANO PA-C
7649 DELANCEY DR
COLLEGE GROVE, TN 37046-2035
Phone number: 708-209-7275