Individual
GINA MARIE FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 W ASHLAN AVE STE 100, CLOVIS, CA 93612-5627
(559) 882-5572
Mailing address
1396 W HERNDON AVE, FRESNO, CA 93711-7126
(559) 388-3828
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
05/06/2025
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