Holly K Fanning, PA
NPI #1104387448 in La Jolla, California
Provider Information
- NPI Number
- 1104387448
- Entity Type
- Individual
- Name
- Holly K Fanning, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Jan 4, 2023
Practice Location
- Address
- 10666 N TORREY PINES RD
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1027
- Phone
- (858) 554-7909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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