Individual
DR. JESSICA DAWN FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
700 S GREELEY HWY, CHEYENNE, WY 82007-2848
(307) 635-4087
(307) 637-3197
Mailing address
200 FERGUSON AVE, CHEYENNE, WY 82009-4028
(307) 630-5973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3488
WY
183500000X
Pharmacist
S018576
AZ
Other
Enumeration date
07/16/2011
Last updated
04/07/2015
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