THERESA D FONTAINE

OZARK, AR
NPI1639687437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AR  A005460)
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
THERESA D FONTAINE NP
201 S 7TH ST
OZARK, AR 72949-3131
Phone number: 479-667-1590
Mailing Address
THERESA D FONTAINE NP
2901 S 74TH ST
FORT SMITH, AR 72903-5156
Phone number: 314-364-7595