Individual
KENNETH FONTAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NBC-HWC
Contact information
Practice address
1071 PLOVER AVE, MIAMI SPRINGS, FL 33166-4348
(305) 915-4933
Mailing address
1071 PLOVER AVE, MIAMI SPRINGS, FL 33166-4348
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3528385
—
Other
Enumeration date
12/13/2022
Last updated
12/29/2022
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