Individual
KRISTINE CLEARY FONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1374 W FRONTAGE RD, RIO RICO, AZ 85648-6238
(520) 281-8282
(520) 377-0680
Mailing address
PO BOX 4168, TUBAC, AZ 85646-4168
(520) 375-8283
(520) 377-0680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2066
AZ
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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