SearchMinnesota103TC0700X

Jon Penton, M.A., L.P

NPI 1467769190 · on the registry since 2010 · sole proprietor

Practice

Address
22551 Dodge Ct
Faribault, MN 55021
Phone
(612) 701-9255

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota