Jennifer A Fountain, PA-C
NPI #1427836576 in Redway, California
Provider Information
- NPI Number
- 1427836576
- Entity Type
- Individual
- Name
- Jennifer A Fountain, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 19, 2023
- Last Updated
- Oct 8, 2024
Practice Location
- Address
- 101 WEST COAST ROAD #B
- City
- Redway
- State
- California
- ZIP Code
- 95560
- Phone
- (707) 923-2783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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