LISA A FONSECA

SAN JOSE, CA
NPI1174810584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-07-06
Last Update Date2011-07-06
Business Address
Mrs. LISA A FONSECA
614 TULLY RD
SAN JOSE, CA 95111-1048
Phone number: 408-977-1595
Mailing Address
Mrs. LISA A FONSECA
614 TULLY RD
SAN JOSE, CA 95111-1048
Phone number: 408-977-1595
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