Individual
MR. JOHN ARTHUR FENSTERMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
I.D.C.
Contact information
Practice address
103 CHERRYWOOD CT, JACKSONVILLE, NC 28546-7358
(910) 451-4396
Mailing address
103 CHERRYWOOD CT, JACKSONVILLE, NC 28546-7358
(910) 451-4396
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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