MRS. Lillie Ruth Fennell, REGISTERED NURSE
NPI #1104247402 in Rialto, California
Provider Information
- NPI Number
- 1104247402
- Entity Type
- Individual
- Name
- MRS. Lillie Ruth Fennell, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Jan 4, 2014
- Last Updated
- Jan 4, 2014
Practice Location
- Address
- 1554 N IDYLLWILD AVE
- City
- Rialto
- State
- California
- ZIP Code
- 92376-3159
- Phone
- (909) 820-6241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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