ELIJAH NATHANIEL FORTES

CHULA VISTA, CA
NPI1851059596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2021-11-30
Last Update Date2025-03-27
Business Address
ELIJAH NATHANIEL FORTES
1196 3RD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
Mailing Address
ELIJAH NATHANIEL FORTES
1196 3RD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661