Individual provider · Type 1 NPI

Kareena Angela Fountain, LMP

Specialist · Rochester, WA

NPI number 1386941862 Active

Practice location

17719 Jordan St SW
Rochester, WA 98579-8533

Fax (360) 273-5809

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X601686008 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386941862

Kareena Angela Fountain, LMP's National Provider Identifier is 1386941862, issued on Feb 18, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rochester, WA. The record was last updated on Feb 18, 2011.