STEPHANIE LYNN FANOUS

EL SEGUNDO, CA
NPI1306344122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95008438)
Enumeration Date2018-01-26
Last Update Date2018-01-26
Business Address
STEPHANIE LYNN FANOUS NP
2175 PARK PL
EL SEGUNDO, CA 90245-4705
Phone number: 310-354-4318
Mailing Address
STEPHANIE LYNN FANOUS NP
1286 BONNIE BRAE ST
HERMOSA BEACH, CA 90254-4028
Phone number: 310-963-5719
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