DAJUAN FANNING

Licensed Practical Nurse

NPI: 1376102434Individual

Specialties, Licenses & Credentials

Chore Provider

Code: 372500000X

Home Health Aide

Home Health Aide

Code: 374U00000X

Prevention Professional

Prevention Professional

Code: 405300000X

4703116420(MI)

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

4703116420(MI)

Contact & Hours

Address: 17072 NEW HAMPSHIRE DR
SOUTHFIELD, MI 48075
Phone: (313) 213-7470

Quick Facts

NPI: 1376102434
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 4
Locations: 1

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