Individual
JENNA FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4818-SP-AU
MA
Other
Enumeration date
07/29/2020
Last updated
11/17/2022
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