NPI 1124460951

Jacqueline Fontaine, CNA

Practitioner Nurse's Aide West Henrietta, NY

Practice location

Address: 24 Longhorn Dr, West Henrietta, NY 14586-9739
Phone: (585) 410-9775

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 341101060398E (NY)

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Registry record

NPI: 1124460951
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2013
Record last updated: 22 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.