Individual
DAPHNE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4780 HICKORY BLVD, GRANITE FALLS, NC 28630-8237
(225) 324-9558
Mailing address
11753 JAMES RICHARD DR, CHARLOTTE, NC 28277-4031
(225) 324-9558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15938
LA
183500000X
Pharmacist
Primary
28432
NC
Other
Enumeration date
05/14/2014
Last updated
10/14/2024
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