Individual
VINCIA FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 LBJ FRWY, # 602, DALLAS, TX 75243
(469) 249-1883
Mailing address
9441 LBJ FRWY, # 602, DALLAS, TX 75243
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
00084481
NY
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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