Individual
TANIA FENELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 E MERRICK RD # 141, FREEPORT, NY 11520-4056
(407) 725-6740
Mailing address
53 E MERRICK RD # 141, FREEPORT, NY 11520-4056
(407) 725-6740
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NY
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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