CHARESE M FANNIN

LYNWOOD, CA
NPI1770517799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA12007)
Enumeration Date2006-07-10
Last Update Date2015-05-06
Business Address
-- CHARESE M FANNIN PA
3630 EAST IMPERIAL HIGHWAY
LYNWOOD, CA 90262-2678
Phone number: 310-900-8900
Mailing Address
-- CHARESE M FANNIN PA
PO BOX 12110
WESTMINSTER, CA 92685-2110
Phone number: 562-809-3571
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