Individual
FRITZMOND FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Mailing address
1475 BOLINGBROOK DR, COLUMBUS, OH 43228-9658
(614) 592-0932
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
188730
OH
Other
Enumeration date
07/22/2024
Last updated
10/17/2024
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