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Tina Fountain
NPI 1427300466 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1131 Airport Rd
Milford, DE 19963 - Phone
- (443) 477-2156
- Organisation at this address
- People'S Place Ii, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- DE, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-19
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 Delaware