Haley C Fountain

NPI #1659402832 in Trenton, Tennessee

Provider Information

NPI Number: 1659402832
Entity Type: Individual
Name: Haley C Fountain
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1250 S MANUFACTURERS ROW
City: Trenton
State: Tennessee
ZIP Code: 38382-3632
Phone: (731) 855-7601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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