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:
Health care specialties
| Specialty | Code | License # | 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 12 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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