Fantasia Marie Macedo
NPI #1902542616 in Walla Walla, Washington
Provider Information
- NPI Number
- 1902542616
- Entity Type
- Individual
- Name
- Fantasia Marie Macedo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 6, 2022
- Last Updated
- May 6, 2022
Practice Location
- Address
- 401 W POPLAR ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2846
- Phone
- (509) 897-3320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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