Individual
JOANNA FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
502 AUBURN ST, MANCHESTER, NH 03103-4804
(603) 809-9208
(603) 935-8216
Mailing address
502 AUBURN ST, MANCHESTER, NH 03103-4804
(603) 809-9208
(603) 935-8216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN66503
MA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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