Fanfan, Mandithe M.

Fanfan, Mandithe M. is an individual health care provider with primary practice located at 450 E Atlantic Blvd , Pompano Beach FL 33060-6256. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fanfan, Mandithe M. can be contacted via phone (954) 580-0770.

Contact Information

Primary practice address
450 E Atlantic Blvd Pompano Beach FL 33060-6256
Fax: (954) 580-0777
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5177352 Florida

Profile Details

NPI number 1225362189
LBN Legal business name Fanfan, Mandithe M.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2009
Last updated Sep 25th, 2009 - about 15 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.

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