Lisa A Fonseca

NPI 1174810584 - Counselor - 101YA0400X

NPI Details
NPI 1174810584
Gender Female
Enumeration Date 07/06/2011
Last Updated 07/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
614 TULLY RD
SAN JOSE CA, 95111-1048, US
Phone (408) 977-1595
Fax
Business Location
614 TULLY RD
SAN JOSE CA, 95111-1048, US
Phone (408) 977-1595
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mrs. Lisa A Fonseca NPI is 1174810584, taxonomy code is 101YA0400X Lisa A Fonseca physically located at 614 Tully Rd, San Jose CA, 95111-1048. NPI Number Lisa A Fonseca has the Individual type.

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1174810584 NPI number is provided on an as is basis without warranty of any kind. 1174810584 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A Fonseca are for informational purposes only.