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Alex Joseph Fortin
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1417611583

Alex Joseph Fortin is a Student in an Organized Health Care Education/Training Program based in La Mesa, CA. Alex Joseph Fortin practices in San Diego, CA. The NPI Number for Alex Joseph Fortin is 1417611583 and holds a License No. (California).

The current practice location address for Alex Joseph Fortin is 34141 Farenholt Ave, San Diego, CA and can be reached out via phone at 619-532-7968.

Location: 34141 Farenholt Ave, San Diego, CA, 91942-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417611583
Provider Name
Alex Joseph Fortin
Credential
Provider Entity Type
Individual
Gender
Male
Address
34141 Farenholt Ave, San Diego, CA, 91942-1552
Phone Number
619-532-7968
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34141 Farenholt Ave
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
Fax Number
person
Provider Business Mailing Address Details
Address
34141 Farenholt Ave
City
San Diego
State
California
Zip
92134-7000
Phone Number
619-532-7968
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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