Individual
MR. JOSE FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C.
Contact information
Practice address
DUKE UNIVERSITY, 118 CAMERON INDOOR STADIUM, DURHAM, NC 27708-0001
(919) 613-7559
(919) 681-7866
Mailing address
221 MORNING VIEW CT, DURHAM, NC 27703-2934
(919) 596-5221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1010
NC
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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