Alicia Fennell

NPI #1104197151 in Kissimmee, Florida

Provider Information

NPI Number
1104197151
Entity Type
Individual
Name
Alicia Fennell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 23, 2012
Last Updated
Jan 23, 2012

Practice Location

Address
1120 W DONEGAN AVE
State
Florida
ZIP Code
34741-2247
Phone
(407) 847-2854

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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