JACQUALYN S FANELLE

VINELAND, NJ
NPI1043431588
Former NameJACQUALYN M SWEENEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ  26NJ00207600)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NJ  26NR07270700)
Enumeration Date2007-05-01
Last Update Date2013-09-20
Business Address
Mrs. JACQUALYN S FANELLE CRNA
1505 W SHERMAN AVE
VINELAND, NJ 08360-6912
Phone number: 856-641-7859
Mailing Address
Mrs. JACQUALYN S FANELLE CRNA
PO BOX 650782
DALLAS, TX 75265-0782
Phone number: 866-709-4546