Individual
AMANDA NICHOLE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 HIGH MEADOW RD, NAPERVILLE, IL 60564-5375
(630) 699-3341
Mailing address
2420 HIGH MEADOW RD, NAPERVILLE, IL 60564-5375
(630) 699-3341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
F535-0149-7743-00
WI
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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