Jacqueline Fonville

NPI 1821581562 · on the registry since 2018

Practice

Address: 17800 Us Highway 18
Apple Valley, CA 92307
Phone: (760) 552-6700
Organisation at this address: Desert/Mountain Children'S Center
San Bernardino County Superintendent Of Schools
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 365

Registry record

Primary taxonomy: 172V00000X
172V00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-06-07

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