Individual
ASIA LYNN FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6118 MARK DR, BEDFORD HEIGHTS, OH 44146-3923
(440) 735-1470
Mailing address
6118 MARK DR, BEDFORD HEIGHTS, OH 44146-3923
(440) 735-1470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
362903
OH
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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