Individual
CAROLYNN FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3625 E 146TH ST, UPSTAIRS, CLEVELAND, OH 44120-4854
(216) 820-0669
Mailing address
3625 E 146TH ST, UPSTAIRS, CLEVELAND, OH 44120-4854
(216) 820-0669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 349247
OH
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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