Individual
DR. MONICA ANNE FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
13565 PORT SHELDON ST, HOLLAND, MI 49424-9241
(616) 738-8940
Mailing address
1043 BEECHWOOD ST NE, GRAND RAPIDS, MI 49505-3732
(248) 613-4742
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000718
MI
Other
Enumeration date
11/11/2015
Last updated
08/31/2020
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