ETIENNA FANORD

Licensed Practical Nurse

NPI: 1104120591Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

302194-1(NY)

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Contact & Hours

Address: 1809 NOSTRAND AVE STE 2, SUITE1
BROOKLYN, NY 11226
Phone: (718) 421-4224

Quick Facts

NPI: 1104120591
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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