KASEY NICOLE FONTAINE

SEATTLE, WA
NPI1164044731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61270555)
Enumeration Date2020-05-17
Last Update Date2022-07-25
Business Address
KASEY NICOLE FONTAINE PA-C
5350 TALLMAN AVE NW STE 420
SEATTLE, WA 98107-3932
Phone number: 206-781-6161
Mailing Address
KASEY NICOLE FONTAINE PA-C
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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