Individual
JALEN LEE FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 EXECUTIVE DR STE DANVILLE, DANVILLE, VA 24541-4160
(434) 799-7732
Mailing address
2776 CHERRY GROVE RD, YANCEYVILLE, NC 27379-9194
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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