Individual
DR. ANDRAEA M FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
212 SCHOOSETT ST, PEMBROKE, MA 02359-1822
(781) 826-8804
(781) 826-8805
Mailing address
212 SCHOOSETT ST, PEMBROKE, MA 02359-1822
(781) 826-8804
(781) 826-8805
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1520
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610023
—
MA
Enumeration date
08/26/2006
Last updated
07/08/2007
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