Individual
MS. SUSAN FENNELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 S NEWBURGH RD, WAYNE, MI 48184-1002
(734) 728-6500
Mailing address
7141 E PARKCREST, APT 304, WESTLAND, MI 48185-7287
(866) 222-9438
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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