person
Miss Autumn Leci Fornasero, MSPA-C
Medical Physician Assistant in Brawley, California
NPI 1124300959

Autumn Leci Fornasero is a Medical Physician Assistant based in Brawley, CA and is specialized in Medical. Autumn Leci Fornasero practices in Brawley, CA and has the professional credentials of MSPA-C. The NPI Number for Autumn Leci Fornasero is 1124300959 and holds a License No. PA21802 (California).

The current practice location address for Autumn Leci Fornasero is 207 W Legion Rd, Brawley, CA and can be reached out via phone at 760-351-3333.

Location: 207 W Legion Rd, Brawley, CA, 92227-7780
person
Provider Profile Details
NPI Number
1124300959
Provider Name
Autumn Leci Fornasero
Credential
MSPA-C
Provider Entity Type
Individual
Gender
Female
Address
207 W Legion Rd, Brawley, CA, 92227-7780
Phone Number
760-351-3333
Fax Number
Provider Enumeration Date
09/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
207 W Legion Rd
City
State
Zip
92227-7780
Phone Number
760-351-3333
Fax Number
person
Provider Business Mailing Address Details
Address
207 W Legion Rd
City
State
Zip
92227-7780
Phone Number
760-351-3333
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA21802 (California)
Definition
Definition to come...
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