Individual
AMY LYNN FENRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
4308 LONE OAK DR, MANSFIELD, TX 76063-5566
(608) 449-0767
Mailing address
902 BELL OAK DR, KENNEDALE, TX 76060-5623
(608) 449-0767
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
04/25/2017
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