MS. Johnnie Lauraetta Fanner, NP

NPI #1568564383 in San Antonio, Texas

Provider Information

NPI Number
1568564383
Entity Type
Individual
Name
MS. Johnnie Lauraetta Fanner, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Religious Nonmedical Nursing Personnel
Credential
NP
Enumeration Date
Sep 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7400 MERTON MINTER ST
State
Texas
ZIP Code
78229-4404
Phone
(210) 617-5300

Specialties & Taxonomy Codes

Specialty
Religious Nonmedical Nursing Personnel

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