ALEX JOSEPH FORTIN

SAN DIEGO, CA
NPI1417611583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-10-26
Last Update Date2021-10-26
Business Address
ALEX JOSEPH FORTIN
34141 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
ALEX JOSEPH FORTIN
5423 LAKE MURRAY BLVD APT 14
LA MESA, CA 91942-1552
Phone number: 774-360-7365