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Individual

GILBERT FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
119 FLORES LN, VISTA, CA 92083-1905
(760) 889-6006
(760) 295-4455
Mailing address
119 FLORES LN, VISTA, CA 92083-1905
(760) 889-6006
(760) 295-4455

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8677
CA

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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