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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELINE FONTAINE, CNA

Active Sole Proprietor

Nurse's Aide · WEST HENRIETTA, NY

Registration Details

NPI Number
1124460951
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2013 (12.767620384964 yrs)
Last Updated
Jul 22, 2013
License
341101060398E (NY)
Sole Proprietor
Yes

Practice Information

Address
24 LONGHORN DR
WEST HENRIETTA, NY, 145869739
Browse NY providers · Browse ZIP 14586
Phone
5854109775
Primary Specialty
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.