Organization
LAKE HAVASU UNIFIED SCHOOL DISTRCT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE FEHNER LPN (SCHOOL LPN)
(928) 680-6082
Entity
Organization
Contact information
Practice address
1250 PAWNEE DR, LAKE HAVASU CITY, AZ 86406-8764
(928) 680-6082
Mailing address
1250 PAWNEE DR, LAKE HAVASU CITY, AZ 86406-8764
(928) 680-6082
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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