Individual
ATEM FONTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 AVENUE I, HUNTSVILLE, TX 77340-5830
(936) 437-5300
Mailing address
4949 W DAVIS ST APT 9208, CONROE, TX 77304-5336
(936) 494-9884
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03438180
OH
1835P2201X
Ambulatory Care Pharmacist
Primary
64704
TX
Other
Enumeration date
01/21/2019
Last updated
10/08/2020
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