Individual
DR. JEAN H FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7205 RISING SUN AVE, PHILADELPHIA, PA 19111-3926
(215) 276-2250
(215) 276-2110
Mailing address
7205 RISING SUN AVE, PHILADELPHIA, PA 19111-3926
(215) 276-2250
(215) 276-2110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1772
AL
111NR0400X
Rehabilitation Chiropractor
Primary
DC010306
PA
Other
Enumeration date
08/29/2006
Last updated
08/05/2015
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