Gaius B Fomuso

NPI #1982957106 in Mansfield, Texas

Provider Information

NPI Number
1982957106
Entity Type
Individual
Name
Gaius B Fomuso
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 25, 2012
Last Updated
Oct 25, 2012

Practice Location

Address
203 LORIENT DR
State
Texas
ZIP Code
76063-5572
Phone
(214) 256-6648

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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