KASEY NICOLE FONTAINE

LA JOLLA, CA
NPI1164044731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61270555)
Enumeration Date2020-05-17
Last Update Date2025-01-30
Business Address
KASEY NICOLE FONTAINE PA-C
9850 GENESEE AVE STE 820
LA JOLLA, CA 92037-1219
Phone number: 858-677-0777
Mailing Address
KASEY NICOLE FONTAINE PA-C
9850 GENESEE AVE STE 820
LA JOLLA, CA 92037-1219
Phone number: 858-677-0777