Individual
BLANCA CARREON FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2565 ALLUVIAL AVE, CLOVIS, CA 93611-9502
(559) 348-9225
Mailing address
2565 ALLUVIAL AVE, CLOVIS, CA 93611-9502
(559) 348-9225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
05/29/2019
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