ANDREW FONTICIELLA, PA STUDENT

PA STUDENT

Student in an Organized Health Care Education/Training Program

NPI: 1023814001Individual

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

STUDENT(CA)

Student in an Organized Health Care Education/Training ProgramPrimary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Contact & Hours

Address: 16037 VIA DEL SOL
SAN LORENZO, CA 94580
Phone: (818) 935-7076

Quick Facts

NPI: 1023814001
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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