Stephen Demosthenes Fonsworth
NPI #1851152052 in Ceres, California
Provider Information
- NPI Number
- 1851152052
- Entity Type
- Individual
- Name
- Stephen Demosthenes Fonsworth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jan 16, 2024
- Last Updated
- May 2, 2024
Practice Location
- Address
- 1708 BANYAN CT
- City
- Ceres
- State
- California
- ZIP Code
- 95307-1907
- Phone
- (209) 538-1888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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