Most Relevant Information
Provider Data
| NPI Number: | 1003408089 |
| Provider Name: | FAITH PANGANIBAN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2021 |
| Last Updated: | 02/10/2021 |
Provider Practice Location
8540 BAYCENTER RD
JACKSONVILLE
FL
322567420
Practice Location Phone/Fax
| Phone: | 9044481933 |
| Fax: |
Provider Mailing Location
8540 BAYCENTER RD
JACKSONVILLE
FL
322567420
Provider Mailing Phone/Fax
| Phone: | 9044481933 |
| Fax: |