DAKOTA WILLIAM FANNIN

LEXINGTON, KY
NPI1427898378
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
DAKOTA WILLIAM FANNIN
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
Mailing Address
DAKOTA WILLIAM FANNIN
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686