Individual
JEAN EVERLY LAFONTANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
(951) 683-4239
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(952) 683-6596
(951) 683-4239
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A131224
CA
Other
Enumeration date
04/27/2011
Last updated
09/14/2020
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