ALAN JAMES FASANO

CLEARWATER, FL
NPI1477315059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: FL  DH17852)
Enumeration Date2024-01-29
Last Update Date2024-01-29
Business Address
ALAN JAMES FASANO
702 JASMINE WAY
CLEARWATER, FL 33756-4086
Phone number: 727-824-8181
Mailing Address
ALAN JAMES FASANO
14100 58TH ST N
CLEARWATER, FL 33760-9900
Phone number: