Individual provider · Type 1 NPI

Erin Fontenot

Student in an Organized Health Care Education/Training Program · San Pedro, CA

NPI number 1790561595 Active

Practice location

222 W 6th St Ste 230
San Pedro, CA 90731-3332

Call (310) 833-3155 Map

Fax (310) 707-2877

Mailing address

1301 Pine Ave
Long Beach, CA 90813-3124

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790561595

Erin Fontenot's National Provider Identifier is 1790561595, issued on Sep 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Pedro, CA. The record was last updated on Sep 6, 2023.