Joanna R. Fountain, CHP-C

NPI #1417192410 in King Cove, Alaska

Provider Information

NPI Number: 1417192410
Entity Type: Individual
Name: Joanna R. Fountain, CHP-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: CHP-C
Enumeration Date: Dec 5, 2008
Last Updated: Dec 5, 2008

Practice Location

Address: 100 SLOCUM DRIVE
City: King Cove
State: Alaska
ZIP Code: 99612
Phone: (907) 497-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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