Individual
MR. JAMES VERNON VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 332-6937
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 332-6937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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