AUTUMN LECI FORNASERO

BRAWLEY, CA
NPI1124300959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA21802)
Enumeration Date2011-09-19
Last Update Date2021-12-06
Business Address
Miss AUTUMN LECI FORNASERO M.S. PA-C
207 W LEGION RD
BRAWLEY, CA 92227-7780
Phone number: 760-351-3333
Mailing Address
Miss AUTUMN LECI FORNASERO M.S. PA-C
207 W LEGION RD
BRAWLEY, CA 92227-7780
Phone number: 760-351-3333
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