Individual
SHELBY M FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2509 PLEASANT RUN DR, HARRISONBURG, VA 22801-8720
(540) 689-5500
Mailing address
553 CAYLOR RD, EWING, VA 24248-8554
(276) 861-9136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010184
VA
Other
Enumeration date
07/11/2024
Last updated
08/30/2024
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