Individual
AMANDA FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 FIELDSTONE LN, SOUTHINGTON, CT 06489-3942
(860) 655-8082
Mailing address
13 FIELDSTONE LN, SOUTHINGTON, CT 06489-3942
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
213625
CT
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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