Individual
MRS. JANNA CINNAMON FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC/L
Contact information
Practice address
3700 NW CARY PKWY, STE 110, CARY, NC 27513-8446
(919) 238-2000
Mailing address
221 MORNING VIEW CT., DURHAM, NC 27703
(919) 596-5221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1175
NC
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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