Individual
ANTHONY FONSECA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1661 NEIL ARMSTRONG ST APT 156, MONTEBELLO, CA 90640-2007
(562) 319-7171
Mailing address
1661 NEIL ARMSTRONG ST APT 156, MONTEBELLO, CA 90640-2007
(562) 319-7171
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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