Individual
MR. ROGER LEE FENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
687 N MAIN ST UNIT A, COTTONWOOD, AZ 86326-3201
(928) 852-7275
(928) 852-7275
Mailing address
687 N MAIN ST UNIT A, COTTONWOOD, AZ 86326-3201
(928) 852-7275
(928) 852-7275
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0555
AZ
171100000X
Acupuncturist
555
AZ
Other
Enumeration date
03/19/2008
Last updated
02/07/2023
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