Individual
BRIDGET FONTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 LEXINGTON AVE, COLUMBUS, OH 43211-2017
(380) 997-7617
Mailing address
2868 MORALITY DR, COLUMBUS, OH 43231-8828
(614) 906-0225
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
159465
OH
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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