Fennell, Lillie Ruth

Fennell, Lillie Ruth is an sole proprietor health care provider with primary practice located at 1554 N Idyllwild Ave , Rialto CA 92376-3159. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fennell, Lillie Ruth can be contacted via phone (909) 820-6241.

Contact Information

Primary practice address
1554 N Idyllwild Ave Rialto CA 92376-3159
Phone: (909) 820-6241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 462743 California

Profile Details

NPI number 1104247402
LBN Legal business name Fennell, Lillie Ruth
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2014
Last updated Jan 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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