Fomotar, Marcel

Fomotar, Marcel is an sole proprietor health care provider with primary practice located at 1085 Sanders Ave , Clovis CA 93619-3935. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Fomotar, Marcel can be contacted via phone (408) 449-6623.

Contact Information

Primary practice address
1085 Sanders Ave Clovis CA 93619-3935
Phone: (408) 449-6623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95043929 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R244114 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95014417 California

Profile Details

NPI number 1447765409
LBN Legal business name Fomotar, Marcel
Credentials CRNP-PMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2017
Last updated Sep 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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