Dajuan Fanning
Dajuan Fanning is a Chore Provider in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2019.
- Licensed in
- MI
- In the registry since
- 2019
- Specialties on file
- 4
Practice location Address checks out
17072 New Hampshire DrSouthfield, MI 48075-2972
Phone: (313) 213-7470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703116420 (MI) |
|---|---|
| Chore Provider | Taxonomy 372500000X |
| Home Health Aide | Taxonomy 374U00000X |
| Prevention Professional | Taxonomy 405300000X · Licence 4703116420 (MI) |
Record details
| NPI number | 1376102434 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 11, 2019 |
| Last updated in NPPES | June 11, 2019 |
| Mailing address | 17072 New Hampshire Dr, Southfield, MI 48075-2972 |
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