Vanessa Fan

NPI #1104673524 in Middletown, New York

Provider Information

NPI Number: 1104673524
Entity Type: Individual
Name: Vanessa Fan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 3, 2024
Last Updated: May 3, 2024

Practice Location

Address: 707 E MAIN ST
City: Middletown
State: New York
ZIP Code: 10940-2650
Phone: (845) 333-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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