JENNA FEWINS
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Radiology
Provider Information
- NPI Number
1558777037- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA, 237082111
- Phone
- (757) 953-5000
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dentist, Oral and Maxillofacial Radiology
Primary License: MI #2901021801
All Addresses
MAILING
805 AMANDA CT
CHESAPEAKE, VA, 233223725