Individual
DR. DE ADREA DISHONNA FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
633 E RAY RD STE 110, GILBERT, AZ 85296-4202
(480) 666-5505
(469) 619-3245
Mailing address
633 E RAY RD STE 110, GILBERT, AZ 85296-4202
(480) 666-5505
(469) 619-3245
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
13-1415
AZ
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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