STEPHEN DEMOSTHENES FONSWORTH

CERES, CA
NPI1851152052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-01-16
Last Update Date2024-05-02
Business Address
STEPHEN DEMOSTHENES FONSWORTH
1708 BANYAN CT
CERES, CA 95307-1907
Phone number: 209-538-1888
Mailing Address
STEPHEN DEMOSTHENES FONSWORTH
2935 4TH ST
CERES, CA 95307-3222
Phone number: 209-538-9009
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