Individual
EMILLIE ROSE FEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-1090
Mailing address
922 BEVINS CT, LAKEPORT, CA 95453-9754
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95059168
CA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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