Mrs. Lillie Ruth Fennell, REGISTEREDNURSE
Mrs. Lillie Ruth Fennell, REGISTEREDNURSE is a Registered Nurse in Rialto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1554 N Idyllwild AveRialto, CA 92376-3159
Phone: (909) 820-6241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 462743 (CA) |
|---|
Record details
| NPI number | 1104247402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | REGISTEREDNURSE |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2014 |
| Last updated in NPPES | January 4, 2014 |
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