MANUEL JOSE FONSECA

SPOKANE, WA
NPI1467902957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WA  OT60336583)
Enumeration Date2016-10-07
Last Update Date2016-10-07
Business Address
-- MANUEL JOSE FONSECA
122 E MONTGOMERY AVE STE D
SPOKANE, WA 99207-2219
Phone number: 509-838-2531
Mailing Address
-- MANUEL JOSE FONSECA
PO BOX 3649
SPOKANE, WA 99220-3649
Phone number:
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