Fountaine, Keiana Renee

Fountaine, Keiana Renee is an sole proprietor health care provider with primary practice located at 2682 Remington Way , Tracy CA 95377. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Fountaine, Keiana Renee can be contacted via phone (209) 914-0972.

Contact Information

Primary practice address
2682 Remington Way Tracy CA 95377
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1780439018
LBN Legal business name Fountaine, Keiana Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2024
Last updated Apr 19th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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