Individual
AMBER FONTEYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
340 MAIN ST # 140A, VENICE, CA 90291-2524
(310) 310-6380
Mailing address
340 MAIN ST # 140A, VENICE, CA 90291-2524
(310) 310-6380
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19268
CA
Other
Enumeration date
11/22/2013
Last updated
06/05/2014
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