ALLENE FONSECA

DEARBORN, MI
NPI1487008025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207N00000X Dermatology
(Licence: MI  4351050138)
207R00000X Internal Medicine
(Licence: CA  A150457)
Enumeration Date2016-04-20
Last Update Date2022-06-30
Business Address
ALLENE FONSECA
18100 OAKWOOD BLVD STE 300
DEARBORN, MI 48124-4085
Phone number: 313-240-4900
Mailing Address
ALLENE FONSECA
18100 OAKWOOD BLVD STE 300
DEARBORN, MI 48124-4085
Phone number: 313-240-4900