LISA FANTON

BROCKPORT, NY
NPI1477097343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  251344-1)
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
-- LISA FANTON LPN
219 VIKING WAY APT C3
BROCKPORT, NY 14420-2433
Phone number: 585-471-4676
Mailing Address
-- LISA FANTON LPN
219 VIKING WAY APT C3
BROCKPORT, NY 14420-2433
Phone number: 585-471-4676
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