JEROME TIMOTHY FOUNTAIN

HIALEAH, FL
NPI1952952087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA17452)
Enumeration Date2019-09-20
Last Update Date2019-09-20
Business Address
JEROME TIMOTHY FOUNTAIN
17670 NW 78TH AVE
HIALEAH, FL 33015-3664
Phone number: 305-512-5757
Mailing Address
JEROME TIMOTHY FOUNTAIN
11650 NW 29TH MNR
SUNRISE, FL 33323-1649
Phone number: 239-867-1879
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