MS. Jennifer Anne Fieten, DT

NPI #1174760524 in Dolton, Illinois

Provider Information

NPI Number: 1174760524
Entity Type: Individual
Name: MS. Jennifer Anne Fieten, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: DT
Enumeration Date: Jan 7, 2009
Last Updated: Jan 7, 2009

Practice Location

Address: 14716 CHICAGO RD
City: Dolton
State: Illinois
ZIP Code: 60419-2016
Phone: (708) 392-0133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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