Individual
DIANNE FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2628 VICTOR AVE STE C, REDDING, CA 96002-1454
(530) 338-2090
(530) 338-2098
Mailing address
2628 VICTOR AVE STE C, REDDING, CA 96002-1454
(530) 338-2090
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025486
CA
Other
Enumeration date
05/18/2023
Last updated
07/07/2025
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