Individual
RHONDA L FAUTEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.B.O.C.
Contact information
Practice address
14 7TH ST N, EDGARTOWN, MA 02539-3240
(508) 627-1342
(508) 627-8706
Mailing address
#14 7TH ST., PO BOX 3240, EDGARTOWN, MA 02539-3240
(508) 627-1342
(508) 627-8706
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
35039
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313092
—
MA
Enumeration date
04/13/2007
Last updated
07/08/2007
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