Search › California › 106S00000X
Tavia Fontenot
NPI 1700616463 · on the registry since 2024 · sole proprietor
Practice
- Address
- 30039 Swan Point Dr
Canyon Lake, CA 92587 - Phone
- (951) 796-3840
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2024-08-06
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 California