Individual
SARAH FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5555
Mailing address
401 RANDALL ST, WAUKESHA, WI 53188-3525
(310) 947-1777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
193450-30
WI
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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