Desirra Fannin
Desirra Fannin is a Personal Care Attendant in Petersburg, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
25 At Ease LnPetersburg, WV 26847-8714
Phone: (681) 268-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1982322061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 16, 2022 |
| Last updated in NPPES | August 16, 2022 |
| Certification date | August 16, 2022 |
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