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Autumn Fornasero, M.S. PA-C
NPI 1124300959 · on the registry since 2011
Practice
- Address
- 207 W Legion Rd
Brawley, CA 92227 - Phone
- (760) 351-3333
- Organisation at this address
- Vincent Chiu Md Inc
Richard Jacoby Md Inc
Cep America - California
Imperial Endovascular Pc
Sc Surgery Network, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California