Individual
MRS. LOIS GAIL FETNER-GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20950 VIA JASMINE, UNIT # 3, BOCA RATON, FL 33428-1324
(561) 488-4722
Mailing address
20950 VIA JASMINE, UNIT # 3, BOCA RATON, FL 33428-1324
(561) 488-4722
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT9516
FL
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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