PROF. Brian C Fennen, LAC, QME
NPI #1700884996 in Calistoga, California
Provider Information
- NPI Number
- 1700884996
- Entity Type
- Individual
- Name
- PROF. Brian C Fennen, LAC, QME
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Acupuncturist
- Credential
- LAC, QME
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1217 WASHINGTON ST
- City
- Calistoga
- State
- California
- ZIP Code
- 94515-1439
- Phone
- (707) 942-9380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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