Individual
MRS. LAURA FONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 SEASIDE AVE, EGG HARBOR TOWNSHIP, NJ 08234-7302
(609) 892-2201
(609) 927-7466
Mailing address
108 SEASIDE AVE, EGG HARBOR TOWNSHIP, NJ 08234-7302
(609) 892-2201
(609) 927-7466
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
NJ
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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