JOSE MARIO D CUYEGKENG FONTANILLA

SANTA ROSA, CA
NPI1164528469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: WV  23108)
Enumeration Date2006-09-15
Last Update Date2021-12-15
Business Address
Dr. JOSE MARIO D CUYEGKENG FONTANILLA M.D.
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-393-4704
Mailing Address
Dr. JOSE MARIO D CUYEGKENG FONTANILLA M.D.
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-393-4704
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