Individual
MRS. CHRISTINE FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
944 STATE ROUTE 17K, MONTGOMERY, NY 12549-2213
(845) 457-2400
(845) 457-8594
Mailing address
944 STATE ROUTE 17K, MONTGOMERY, NY 12549-2213
(845) 457-2400
(845) 457-8594
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
511058
NY
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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