Darlene Jane Fenner
Clinical Exercise Physiologist in San Mateo, CA. Individual provider (NPI-1).
NPI number1013695261
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1013695261
- Entity type
- Individual (NPI-1)
- Name
- Darlene Jane Fenner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2023
- Certification date
- Jul 3, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Y00000X | Clinical Exercise Physiologist | – | – | Yes |
Practice location
3050 S Delaware St Ste 130San Mateo, CA 94403-2394
Phone 650-319-8654
Mailing address
5424 Abbey Ln SeRochester, MN 55904-8114
Phone 651-335-1820
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