Vickie Marie Fonder, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fergus Falls, MN

NPI

1205016235

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L5242 (ND)

Sex

Female

Sole proprietor

No

Enumerated

2007-11-07

Last updated

2007-11-07