Individual
HALEY C FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 S MANUFACTURERS ROW, TRENTON, TN 38382-3632
(731) 855-7601
(731) 855-7603
Mailing address
1250 S MANUFACTURERS ROW, TRENTON, TN 38382-3632
(731) 855-7601
(731) 855-7603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000142339
TN
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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