Fornasero, Autumn Leci

Fornasero, Autumn Leci is an individual health care provider with primary practice located at 207 W Legion Rd , Brawley CA 92227-7780. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fornasero, Autumn Leci can be contacted via phone (760) 351-3333.

Contact Information

Primary practice address
207 W Legion Rd Brawley CA 92227-7780
Phone: (760) 351-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA21802 California

Profile Details

NPI number 1124300959
LBN Legal business name Fornasero, Autumn Leci
Credentials M.S. PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2011
Last updated Dec 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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