MRS. LILLIE FENNELL, REGISTERED NURSE

Registered Nurse

Active Individual
NPI: 1104247402

Practice Address

1554 N IDYLLWILD AVE
Rialto, CA 92376

Phone: (909) 820-6241

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 462743 (CA)

Frequently Asked Questions

NPI 1104247402 is the National Provider Identifier for MRS. LILLIE FENNELL, REGISTERED NURSE, a Registered Nurse provider located in Rialto, CA. This NPI was enumerated on January 4, 2014.
MRS. LILLIE FENNELL, REGISTERED NURSE practices at 1554 N IDYLLWILD AVE, Rialto, CA 92376.

Quick Facts

NPI
1104247402
Type
Individual
Enumerated
Jan 4, 2014
Last Updated
Jan 4, 2014

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