Individual
OMAYRA FONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
68 WINTHROP ST, SUITE A, TAUNTON, MA 02780
(401) 450-9717
Mailing address
68 WINTHROP ST, SUITE A, TAUNTON, MA 02780
(401) 450-9717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN281032
MA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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