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1508632480
ANDRES FONSECA
TORRANCE, CA
NPI
1508632480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95028098)
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
ANDRES FONSECA NP
4305 TORRANCE BLVD STE 106
TORRANCE, CA 90503-4400
Phone number: 310-542-9758
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Mailing Address
ANDRES FONSECA NP
13069 MONTFORD ST
PACOIMA, CA 91331-1818
Phone number: 949-517-8566
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