Alexis Shante' Fanning

NPI #1053151985 in Cheyenne, Wyoming

Provider Information

NPI Number
1053151985
Entity Type
Individual
Name
Alexis Shante' Fanning
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
May 29, 2024
Last Updated
May 29, 2024

Practice Location

Address
4514 LARAMIE ST UNIT AB
State
Wyoming
ZIP Code
82001-2154
Phone
(307) 638-8182

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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