DENISE FORTENBERRY FORTENBERRY-GRATIAS

NEWPORT BEACH, CA
NPI1326330119
Former NameDENISE RENEE FORTENBERRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  17284)
Enumeration Date2011-05-11
Last Update Date2012-03-05
Business Address
Mrs. DENISE FORTENBERRY FORTENBERRY-GRATIAS ACNP-C
520 SUPERIOR AVE, SUITE 350
NEWPORT BEACH, CA 92663
Phone number: 949-764-8062
Mailing Address
Mrs. DENISE FORTENBERRY FORTENBERRY-GRATIAS ACNP-C
520 SUPERIOR AVE, SUITE 350
NEWPORT BEACH, CA 92663
Phone number: 949-764-8062
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