Individual
DR. ALI TARYN FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S MAIN ST, ONIDA, SD 57564-2177
(605) 258-2626
Mailing address
1602 S US HIGHWAY 83, FORT PIERRE, SD 57532-2130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1480
SD
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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