LILLIE RUTH FENNELL

RIALTO, CA
NPI1104247402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  462743)
Enumeration Date2014-01-04
Last Update Date2014-01-04
Business Address
Mrs. LILLIE RUTH FENNELL Registered Nurse
1554 N IDYLLWILD AVE
RIALTO, CA 92376-3159
Phone number: 909-820-6241
Mailing Address
Mrs. LILLIE RUTH FENNELL Registered Nurse
1554 N IDYLLWILD AVE
RIALTO, CA 92376-3159
Phone number: 909-820-6241