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Individual

TRENTON REED FONDREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
975 9TH AVE SW STE 310, BESSEMER, AL 35022-7839
(205) 277-2358
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-149882
AL
363L00000X
Nurse Practitioner
Primary
1-149882
AL

Other

Enumeration date
11/21/2020
Last updated
10/27/2022
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