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Individual

MRS. CHERLYN S. FONTANILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC, NNP

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4691
Mailing address
925 LYM DR, VIRGINIA BEACH, VA 23464-1672

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024165813
VA

Other

Enumeration date
10/28/2006
Last updated
07/08/2007
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