Individual
MR. JEAN RENAUD FENELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
880 NW 210TH ST APT 203, MIAMI, FL 33169-7003
(786) 263-8355
Mailing address
880 NW 210TH ST APT 203, MIAMI, FL 33169-7003
(786) 263-8355
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
RT 11579
FL
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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