CLIFFORD FONTANILLA GONZALES

WINSTON SALEM, NC
NPI1558458042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  2163)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  136101)
Enumeration Date2006-10-06
Last Update Date2025-06-19
Business Address
Mr. CLIFFORD FONTANILLA GONZALES CRNA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-3069
Mailing Address
Mr. CLIFFORD FONTANILLA GONZALES CRNA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-3069