Individual
TIFFANY THERESE FONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
108 E LAKE MEAD PKWY STE 302, HENDERSON, NV 89015
(702) 912-1714
(702) 734-2650
Mailing address
4275 BURNHAM AVE STE 220, LAS VEGAS, NV 89119-5400
(702) 912-1714
(702) 734-2650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
SL0957
NV
207RC0000X
Cardiovascular Disease Physician
Primary
DO2567
NV
207RC0000X
Cardiovascular Disease Physician
PG177527
OR
Other
Enumeration date
06/10/2013
Last updated
03/09/2020
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