SearchMichigan225200000X

Jennifer Fanelli

NPI 1225256654 · on the registry since 2007 · sole proprietor

Practice

Address
5984 Coppersmith Rd
Waterford, MI 48327
Phone
(734) 846-4379

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan