Individual
TARA NOELLE FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3126 E CAMELBACK RD, PHOENIX, AZ 85016-4502
(602) 957-1716
Mailing address
3126 E CAMELBACK RD, PHOENIX, AZ 85016-4502
(602) 957-1716
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO003261
AZ
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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