Individual
MRS. DANIELLE PAULINE FENNEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
750 W HIGH ST, SUITE 250, LIMA, OH 45801
(419) 227-7399
(419) 225-9610
Mailing address
750 W HIGH ST, SUITE 250, LIMA, OH 45801
(419) 227-7399
(419) 225-9610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03227901
OH
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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