MANITA FONTAINE

TAMPA, FL
NPI1134092570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5197301)
Enumeration Date2025-09-23
Last Update Date2025-09-23
Business Address
MANITA FONTAINE
13506 N ROME AVE
TAMPA, FL 33613-2027
Phone number: 813-389-5421
Mailing Address
MANITA FONTAINE
13506 N ROME AVE
TAMPA, FL 33613-2027
Phone number: 813-389-5421