Individual
DR. HEIDI SUSANNE FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, FICPA
Contact information
Practice address
230 N MARYLAND AVE STE 309, GLENDALE, CA 91206-4281
(818) 549-1300
(818) 549-0075
Mailing address
230 N MARYLAND AVE STE 309, GLENDALE, CA 91206-4281
(818) 549-1300
(818) 549-0075
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC29506
CA
Other
Enumeration date
10/02/2006
Last updated
05/03/2019
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