Brook T Fantaw
Brook T Fantaw is a Home Health Agency in Minnetonka, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2024
Practice location Address checks out
3621 Williston RdMinnetonka, MN 55345-2129
Phone: (952) 457-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X (MN) |
|---|
Record details
| NPI number | 1427816784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 11, 2024 |
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