Laronda Fortenberry
NPI #1023540416 in San Francisco, California
Provider Information
- NPI Number
- 1023540416
- Entity Type
- Individual
- Name
- Laronda Fortenberry
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 3, 2017
- Last Updated
- Apr 7, 2017
Practice Location
- Address
- 1209 INGALLS ST
- City
- San Francisco
- State
- California
- ZIP Code
- 94124-2801
- Phone
- (415) 822-1585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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