Individual provider · Type 1 NPI
Gisele Fontaine, RN
Psychiatric/Mental Health Registered Nurse · Los Angeles, CA
NPI number
1952482374
Active
Practice location
1419 S. Broadway
Los Angeles, CA 90013
Fax (213) 485-3429
Mailing address
417 E. Tamarack Ave, #39
Inglewood, CA 90301-6321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 299335 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1952482374
Gisele Fontaine, RN's National Provider Identifier is 1952482374, issued on Oct 19, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.