DR. Jean Marie Fanba
NPI #1174937452 in Prince Frederick, Maryland
Provider Information
- NPI Number
- 1174937452
- Entity Type
- Individual
- Name
- DR. Jean Marie Fanba
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 16, 2014
- Last Updated
- Jun 16, 2014
Practice Location
- Address
- 355 MARKET SQUARE DR
- City
- Prince Frederick
- State
- Maryland
- ZIP Code
- 20678-3173
- Phone
- (410) 535-5313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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