Individual
DR. MATTHEW JOSEPH FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
5105A BACKLICK RD, ANNANDALE, VA 22003-6005
(703) 642-8685
(703) 642-1507
Mailing address
5100 RAPPAHANNOCK PL, ANNANDALE, VA 22003-5530
(571) 234-9319
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
VA0104556931
VA
Other
Enumeration date
01/10/2007
Last updated
01/06/2023
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