Fanba, Jean Marie

Fanba, Jean Marie is an individual health care provider with primary practice located at 355 Market Square Dr , Prince Frederick MD 20678-3173. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fanba, Jean Marie can be contacted via phone (410) 535-5313.

Contact Information

Primary practice address
355 Market Square Dr Prince Frederick MD 20678-3173
Phone: (410) 535-5313
Fax: (410) 535-5762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19327 Maryland

Profile Details

NPI number 1174937452
LBN Legal business name Fanba, Jean Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2014
Last updated Jun 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers