Individual
ALYSSA FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Mailing address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
(505) 242-1010
(505) 242-1551
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
11/06/2025
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