Individual
MRS. RENEE JEAN FITTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
COMDT (CG-1122), U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(305) 953-2266
Mailing address
2950 NW 69TH AVE, MARGATE, FL 33063-2044
(954) 757-4054
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/21/2005
Last updated
10/10/2008
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