Individual
DONNA MAY FETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1130 CONROY LN, 350, ROSEVILLE, CA 95661-4156
(916) 784-6446
Mailing address
610 RAMSEY PL, EL DORADO HILLS, CA 95762-5209
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
503501
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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