SearchMaryland1041C0700X

Juanita Fontenot

NPI 1245063981 · on the registry since 2024 · sole proprietor

Practice

Address
3934 Tynewick Dr
Silver Spring, MD 20906
Phone
(202) 763-9124

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
104100000X
1041C0700X
Licence states on file
DC, MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland