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Individual

SIMONA FONTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13563 N 143RD AVE, SURPRISE, AZ 85379-6368
(480) 544-9860
Mailing address
13563 N 143RD AVE, SURPRISE, AZ 85379-6368
(480) 544-9860

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13234H
AZ

Other

Enumeration date
11/19/2024
Last updated
11/19/2024
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