Individual
HELEN MARIE FONTECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(435) 843-3520
(435) 882-9075
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/08/2018
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