Vita Fontana

NPI 1427664986 · on the registry since 2020

Practice

Address: 22341 W 8 Mile Rd
Detroit, MI 48219
Phone: (313) 499-3630
Organisation at this address: Norma Abdallah
Rose Pediatric Pc
Ritemed Rx Iv Llc
Anne-Mare Ice Md Pc
Pediatric Staff Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-09-21

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 Michigan