KELLY ELIZABETH FANTOZZI

PORTSMOUTH, VA
NPI1982640728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0001169731)
Enumeration Date2006-06-21
Last Update Date2007-07-08
Business Address
-- KELLY ELIZABETH FANTOZZI CRNA
3636 HIGH STREET MARY VIEW MEDICAL CENTER
PORTSMOUTH, VA 23704
Phone number: 757-399-7461
Mailing Address
-- KELLY ELIZABETH FANTOZZI CRNA
355 CRAWFORD STREET SUITE 808
PORTSMOUTH, VA 23704
Phone number: 757-399-7451
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