person
Monick Fanba
Medical Physician Assistant in Upper Marlboro, Maryland
NPI 1093196990

Monick Fanba is a Medical Physician Assistant based in Upper Marlboro, MD and is specialized in Medical. Monick Fanba practices in Upper Marlboro, MD. The NPI Number for Monick Fanba is 1093196990 and holds a License No. C0005761 (Maryland).

The current practice location address for Monick Fanba is 2502 Moores Plains Blvd, Upper Marlboro, MD and can be reached out via phone at 240-510-5218.

Location: 2502 Moores Plains Blvd, Upper Marlboro, MD, 20774-8027
person
Provider Profile Details
NPI Number
1093196990
Provider Name
Monick Fanba
Credential
Provider Entity Type
Individual
Gender
Female
Address
2502 Moores Plains Blvd, Upper Marlboro, MD, 20774-8027
Phone Number
240-510-5218
Fax Number
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2502 Moores Plains Blvd
City
State
Zip
20774-8027
Phone Number
240-510-5218
Fax Number
person
Provider Business Mailing Address Details
Address
2502 Moores Plains Blvd
City
State
Zip
20774-8027
Phone Number
240-510-5218
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0005761 (Maryland)
Definition
Definition to come...
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