GUSTAVO FONSECA

SAN DIEGO, CA
NPI1780296905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95042131)
Enumeration Date2020-08-19
Last Update Date2020-08-19
Business Address
GUSTAVO FONSECA RN
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-876-4502
Mailing Address
GUSTAVO FONSECA RN
3905 MAIN ST
CHULA VISTA, CA 91911-6213
Phone number:
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