Individual
JAMAL DAVID FOUNTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
1421 BARROWS RD, OAKLAND, CA 94610-2534
(510) 735-7832
(510) 350-8209
Mailing address
1421 BARROWS RD, OAKLAND, CA 94610-2534
(510) 735-7832
(510) 350-8209
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P26912
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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