Individual
MRS. NANCY A FENELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4148 SALT SPRINGS LN, LAKELAND, FL 33811-1892
(321) 330-7456
Mailing address
2028 SHEPHERD RD STE 207, MULBERRY, FL 33860-8699
(321) 330-7456
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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