Vincent Alan Fagan

NPI #1962091850 in Mobile, Alabama

Provider Information

NPI Number
1962091850
Entity Type
Individual
Name
Vincent Alan Fagan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jan 14, 2021
Last Updated
Jan 14, 2021

Practice Location

Address
371 CABANA BLVD W APT 107
City
Mobile
State
Alabama
ZIP Code
36609-1610
Phone
(765) 719-1800

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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