STEPHEN KEITH FONTENOT

EUREKA, CA
NPI1265995914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  725154)
Enumeration Date2019-04-10
Last Update Date2019-04-10
Business Address
STEPHEN KEITH FONTENOT REGISTERED NURSE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
STEPHEN KEITH FONTENOT REGISTERED NURSE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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