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Individual

MRS. MAUREEN ANN FONTANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3100 DURALEIGH RD, SUITE 100, RALEIGH, NC 27612
(919) 571-6465
(919) 571-6455
Mailing address
3908 ROBINS NEST LN, WAKE FOREST, NC 27587
(919) 761-1328

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80508
NC

Other

Enumeration date
11/14/2006
Last updated
07/08/2007
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