Individual
PROF. BRIAN C FENNEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAC, QME
Contact information
Practice address
1217 WASHINGTON ST, CALISTOGA, CA 94515-1439
(707) 942-9380
(707) 942-8242
Mailing address
1217 WASHINGTON ST, CALISTOGA, CA 94515-1439
(707) 942-9380
(707) 942-8242
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3537
CA
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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