JERRY FONSECA

ANCHORAGE, AK
NPI1568078830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-09-21
Last Update Date2020-09-21
Business Address
JERRY FONSECA
1709 BRAGAW ST
ANCHORAGE, AK 99508-3436
Phone number: 907-562-5340
Mailing Address
JERRY FONSECA
4939 FOLKER ST UNIT A
ANCHORAGE, AK 99507-1456
Phone number: 907-440-3000
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