Individual
JESSICA ELIZABETH FENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1051 N CANTON CENTER RD, CANTON, MI 48187-5097
(734) 844-5400
Mailing address
1051 N CANTON CENTER RD, CANTON, MI 48187-5097
(734) 844-5400
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302040848
MI
Other
Enumeration date
08/18/2017
Last updated
02/06/2018
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