Brenda Dale Fasone, RN-INACTIVE LICENSE

NPI #1619793353 in Bowie, Maryland

Provider Information

NPI Number
1619793353
Entity Type
Individual
Name
Brenda Dale Fasone, RN-INACTIVE LICENSE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Credential
RN-INACTIVE LICENSE
Enumeration Date
Nov 26, 2024
Last Updated
Nov 26, 2024

Practice Location

Address
14108 WAINWRIGHT CT
City
Bowie
ZIP Code
20715-1738
Phone
(301) 875-9532

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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