Individual
CHRISTINE NAOMI FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
200 E ALESSANDRO BLVD., UNIT #17, RIVERSIDE, CA 92508-6173
(951) 202-7684
Mailing address
200 E ALESSANDRO BLVD UNIT 17, RIVERSIDE, CA 92508-6173
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PT39341
CA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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