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Stacy Fonner
NPI 1750022182 · on the registry since 2022
Practice
- Address
- 310 Cannan Rd
Canyon Lake, TX 78133 - Phone
- (830) 885-9516
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas