Individual
ASPEN DALE FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 WHITE FIR LOOP, ROCKLIN, CA 95677-4070
(916) 521-9992
Mailing address
4300 WHITE FIR LOOP, ROCKLIN, CA 95677-4070
(916) 521-9992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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