Mark Fonseca

NPI #1396101028 in Joliet, Illinois

Provider Information

NPI Number
1396101028
Entity Type
Individual
Name
Mark Fonseca
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Hearing Instrument Specialist
Enumeration Date
Jan 11, 2016
Last Updated
Jan 11, 2016

Practice Location

Address
3143 W JEFFERSON ST
City
Joliet
ZIP Code
60435-4733
Phone
(815) 744-6898

Specialties & Taxonomy Codes

Specialty
Hearing Instrument Specialist

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