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Individual
GINNY GAYLE FERNANDEZ
Active
Individual
GINNY GAYLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
280892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280892
CALIFORNIA LICENSE
CA
01
—
NPF8889
NURSE PRACTITIONER
CA
Enumeration date
04/02/2007
Last updated
05/18/2009
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