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1790115012
AMBER FONTEYNE
VENICE, CA
NPI
1790115012
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Former Name
AMBER LYN BROTHERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 19268)
Enumeration Date
2013-11-22
Last Update Date
2014-06-05
Business Address
-- AMBER FONTEYNE N.P.
340 MAIN ST # 140A
VENICE, CA 90291-2524
Phone number: 310-310-6380
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Mailing Address
-- AMBER FONTEYNE N.P.
340 MAIN ST # 140A
VENICE, CA 90291-2524
Phone number: 310-310-6380
Copy
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