Individual
MARIA FATIMA GEORGIA FERNANDEZ MISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5722 MONTE VISTA ST, LOS ANGELES, CA 90042-3428
(714) 473-4051
Mailing address
5722 MONTE VISTA ST, LOS ANGELES, CA 90042-3428
(714) 473-4051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95004318
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95004318
CA
Other
Enumeration date
12/14/2016
Last updated
04/26/2018
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