Individual
SUSAN MARIE FENECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5412 BOULDER HIGHWAY, LAS VEGAS, NV 89122
(702) 812-9135
Mailing address
1801 N GREEN VALLEY PKWY, 2213, HENDERSON, NV 89074
(702) 812-9135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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