Individual
MS. MICHELE PATRICIA FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1007 EAST WELLS STREET, SOUTH HAVEN, MI 49090-9612
(269) 637-5297
(269) 637-9238
Mailing address
PO BOX 249, 801 HAZEN STREET SUITE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704150141
MI
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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