VITA FONTANA

DETROIT, MI
NPI1427664986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704299351)
Enumeration Date2020-09-21
Last Update Date2020-09-21
Business Address
VITA FONTANA
22341 W 8 MILE RD
DETROIT, MI 48219-1217
Phone number: 313-499-3630
Mailing Address
VITA FONTANA
18058 PLAYER DR
MACOMB, MI 48042-1772
Phone number: 586-215-7192
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