Individual
MR. FABIO FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
1672 W AVENUE J STE 107, LANCASTER, CA 93534-2859
(661) 951-5680
Mailing address
1672 W AVENUE J STE 107, LANCASTER, CA 93534-2859
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA7578
CA
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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