Individual
MARCEL FOMOTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-PMH
Contact information
Practice address
1085 SANDERS AVE, CLOVIS, CA 93619-3935
(408) 449-6623
Mailing address
1085 SANDERS AVE, CLOVIS, CA 93619-3935
(408) 449-6623
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95043929
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95014417
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R244114
MD
Other
Enumeration date
12/12/2017
Last updated
09/16/2022
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