Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fontaine MA

Individual provider Pharmacist · NPI 1508400995

Fontaine MA is a Pharmacist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

70 W Hedding St
San Jose, CA 95110-1705
Phone: (408) 885-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 80718 (CA)

Record details

NPI number1508400995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2019
Last updated in NPPESOctober 29, 2019

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