MS. Kareena Angela Fountain, LMP
NPI #1386941862 in Rochester, Washington
Provider Information
- NPI Number
- 1386941862
- Entity Type
- Individual
- Name
- MS. Kareena Angela Fountain, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Feb 18, 2011
- Last Updated
- Feb 18, 2011
Practice Location
- Address
- 17719 JORDAN ST SW
- City
- Rochester
- State
- Washington
- ZIP Code
- 98579-8533
- Phone
- (360) 359-2736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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