CONSTANCE S FAIR

PHILADELPHIA, PA
NPI1720227309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SP2800X Clinical Nurse Specialist, Perioperative
(Licence: PA  MA060918)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-01710)
Enumeration Date2009-02-05
Last Update Date2021-06-22
Business Address
CONSTANCE S FAIR PA
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 252-241-9898
Mailing Address
CONSTANCE S FAIR PA
401 WITLEY RD
WYNNEWOOD, PA 19096-2424
Phone number: 252-241-9898