Most Relevant Information
Provider Data
| NPI Number: | 1003821414 |
| Provider Name: | MABLE FASANYA LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 129024 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1019 S MAIN ST
DUNCANVILLE
TX
751372319
Practice Location Phone/Fax
| Phone: | 9725725522 |
| Fax: | 9725725577 |
Provider Mailing Location
1019 S MAIN ST
DUNCANVILLE
TX
751372319
Provider Mailing Phone/Fax
| Phone: | 9725725522 |
| Fax: | 9725725577 |