Antonio Fonseca JR.
NPI #1558864983 in Venice, California
Provider Information
- NPI Number
- 1558864983
- Entity Type
- Individual
- Name
- Antonio Fonseca JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 12, 2018
- Last Updated
- Mar 12, 2018
Practice Location
- Address
- 204 HAMPTON DR
- City
- Venice
- State
- California
- ZIP Code
- 90291-2623
- Phone
- (310) 309-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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