Individual provider · Type 1 NPI

Autumn Leci Fornasero, M.S. PA-C

Medical Physician Assistant · Brawley, CA

NPI number 1124300959 Active

Practice location

207 W Legion Rd
Brawley, CA 92227-7780

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA21802 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1124300959

Autumn Leci Fornasero, M.S. PA-C's National Provider Identifier is 1124300959, issued on Sep 19, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brawley, CA. The record was last updated on Dec 6, 2021.