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Individual

JANENE P. FONTAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6219 S HAVEN CHASE LN, SALT LAKE CITY, UT 84121
(801) 450-0909
Mailing address
6219 S HAVEN CHASE LN, SALT LAKE CITY, UT 84121-6512
(801) 450-0909

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7999353-4405
UT

Other

Enumeration date
11/28/2012
Last updated
10/28/2021
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