SearchWashingtonSpecialist

Kareena Fountain, LMP

NPI 1386941862 · on the registry since 2011 · sole proprietor

Practice

Address
17719 Jordan St Sw
Rochester, WA 98579
Phone
(360) 359-2736
Fax
(360) 273-5809

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-02-18

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 Washington