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Cameron Fonacier
NPI 1417573551 · on the registry since 2020
Practice
- Address
- 20723 Walnut Valley Dr
Walnut, CA 91789 - Phone
- (909) 595-7448
- Organisation at this address
- Luvlee'S Residential Care, Inc.
Luvlee'S Residential Care, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 4340 Wilson St, Chino, CA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101Y00000X
1041C0700X
171M00000X
225400000X
390200000X
225C00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-15
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