Individual
ALEX JOSEPH FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34141 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(619) 532-7968
Mailing address
5423 LAKE MURRAY BLVD APT 14, LA MESA, CA 91942-1552
(774) 360-7365
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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