Individual
ASHLEY NICOLE FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 KOSTORYZ RD, CORPUS CHRISTI, TX 78415-5021
(361) 853-9831
Mailing address
4444 KOSTORYZ RD, CORPUS CHRISTI, TX 78415-5021
(361) 853-9831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70835
TX
Other
Enumeration date
05/05/2021
Last updated
08/29/2022
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