Kathryn B Fongeallaz, BA
NPI #1073735189 in Salem, New Hampshire
Provider Information
- NPI Number
- 1073735189
- Entity Type
- Individual
- Name
- Kathryn B Fongeallaz, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- BA
- Enumeration Date
- May 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 44 STILES ROAD
- City
- Salem
- State
- New Hampshire
- ZIP Code
- 03079
- Phone
- (603) 893-3548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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