Individual
JUDY ORLETTA FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
529 COFFMAN ST, LONGMONT, CO 80501-5450
(303) 684-0555
(303) 245-4459
Mailing address
PO BOX 4, LONGMONT, CO 80502-0004
(303) 494-1519
(303) 494-1519
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
127440
CO
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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