Individual
AVONTI FONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
779 FOX AVE, YPSILANTI, MI 48198-6197
(734) 262-5838
Mailing address
779 FOX AVE, YPSILANTI, MI 48198-6197
(734) 262-5838
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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