FRED FOMBRUN

HENDERSON, NV
NPI1730590829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NV  PA1527)
Enumeration Date2014-05-12
Last Update Date2014-05-12
Business Address
-- FRED FOMBRUN PA-C
2380 W HORIZON RIDGE PKWY STE 110
HENDERSON, NV 89052-5078
Phone number: 972-656-0493
Mailing Address
-- FRED FOMBRUN PA-C
205 WINNSBORO ST
HENDERSON, NV 89074-7877
Phone number: 862-755-9418