ZENE FAWN FENTON

SANTA ROSA, CA
NPI1336150515
Former NameZENE FAWN GERVAIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: CA  OT2583)
Enumeration Date2006-08-11
Last Update Date2007-10-03
Business Address
Mrs. ZENE FAWN FENTON OTR/L
2305 MENDOCINO AVE STE B
SANTA ROSA, CA 95403-3157
Phone number: 707-544-2637
Mailing Address
Mrs. ZENE FAWN FENTON OTR/L
2360 MENDOCINO AVE A2 #173
SANTA ROSA, CA 95403-3153
Phone number: 707-544-2637
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