Individual
PATRICIA EVELYN FENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LAMONT AND VETERANS WAY, MOUNTAIN HOME, TN 37604
(423) 926-1171
Mailing address
PO BOX 400, MOUNTAIN HOME, TN 37684
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0000003841
TN
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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