JAMES R. FENTON

PORT ST. LUCIE, FL
NPI1760489868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: FL  POR61)
Additional Taxonomies224P00000X Prosthetist
(Licence: FL  POR61)
Enumeration Date2005-07-05
Last Update Date2007-07-08
Business Address
Mr. JAMES R. FENTON CPO
1701 SE HILLMOOR DR C-13
PORT ST. LUCIE, FL 34952-7552
Phone number: 772-337-7378
Mailing Address
Mr. JAMES R. FENTON CPO
1701 SE HILLMOOR DR C-13
PORT ST. LUCIE, FL 34952-7552
Phone number: 772-337-7378