Jacqueline Fountain
NPI #1639806672 in Mt Sterling, Kentucky
Provider Information
- NPI Number
- 1639806672
- Entity Type
- Individual
- Name
- Jacqueline Fountain
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 499 INDIAN MOUND DR
- City
- Mt Sterling
- State
- Kentucky
- ZIP Code
- 40353-1096
- Phone
- (859) 497-9382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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