Individual
MISS HEATHER LEIGH FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
854 WRIGHT AVE, ALLIANCE, OH 44601-2836
(330) 821-4926
Mailing address
854 WRIGHT AVE, ALLIANCE, OH 44601-2836
(330) 821-4926
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2497301
—
OH
Enumeration date
06/23/2006
Last updated
07/08/2007
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