Individual
RENITA FENNELL-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PARKVIEW RD, CHELTENHAM, PA 19012-1815
(267) 241-7233
Mailing address
24 PARKVIEW RD, CHELTENHAM, PA 19012-1815
(267) 241-7233
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN086948L
PA
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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