BRIAN KENNETH FONTAINE

WEST ROXBURY, MA
NPI1861584005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  241092)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
Mr. BRIAN KENNETH FONTAINE CRNA
1400 VFW PKWY
WEST ROXBURY, MA 02132-4927
Phone number: 617-323-7700
Mailing Address
Mr. BRIAN KENNETH FONTAINE CRNA
33 SCARBOROUGH RD
PAWTUCKET, RI 02861-4022
Phone number: 401-725-7021
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