NPI Profile for BRIA M FAVORS in FAIRFIELD, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
163WP0200X |
| NPI Number | 1194384842 |
|
| Status | Active | |
| Credentials | RN-BSN | |
| Entity | Individual | |
| Enumeration date | 06/06/2019 | |
| Last updated | 03/18/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRIA M FAVORS
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