LUIS JESUS FONSECA VASQUEZ

SANTA ROSA, CA
NPI1760355648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95384669)
Enumeration Date2025-09-26
Last Update Date2025-09-26
Business Address
LUIS JESUS FONSECA VASQUEZ RN
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5441
Phone number: 707-933-6407
Mailing Address
LUIS JESUS FONSECA VASQUEZ RN
2225 CHALLENGER WAY
SANTA ROSA, CA 95407-5441
Phone number: 707-933-6407
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