SHAUNDRA RENEE FONTAINE

BOISE, ID
NPI1619375110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: ID  A-80)
Enumeration Date2014-12-15
Last Update Date2015-03-30
Business Address
Ms. SHAUNDRA RENEE FONTAINE RN, APRN, CNM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079
Mailing Address
Ms. SHAUNDRA RENEE FONTAINE RN, APRN, CNM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079