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Individual

ALLENE FONSECA

Active
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Individual

ALLENE FONSECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4351050138
MI
207N00000X
Dermatology Physician
Primary
A150457
CA
207R00000X
Internal Medicine Physician
A150457
CA

Other

Enumeration date
04/20/2016
Last updated
11/21/2025
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