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Individual

SHARA FONTAINE

Active
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Individual

SHARA FONTAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
732457
TX
163WG0000X
General Practice Registered Nurse
732457
TX
163WM0102X
Maternal Newborn Registered Nurse
732457
TX
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency

Other

Enumeration date
07/21/2017
Last updated
07/21/2022
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