Individual
RACHEL FENNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9348 E RITA RD STE 140, TUCSON, AZ 85747-6301
(520) 324-4499
Mailing address
1919 LINCOLN WAY STE 315, COEUR D ALENE, ID 83814-2527
(208) 625-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011265
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
09/12/2024
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