Individual
MRS. BONNIE FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
949 TRADEWINDS CV, PAINESVILLE, OH 44077-4699
(706) 996-2164
Mailing address
949 TRADEWINDS CV, PAINESVILLE, OH 44077-4699
(706) 996-2164
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
4303177
OH
376J00000X
Homemaker
Primary
4303177
OH
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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