Individual
ALYSSA M FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CODA
Contact information
Practice address
7850 MISSION CENTER CT, SUITE #100, SAN DIEGO, CA 92108-1322
(619) 578-2232
(619) 578-2231
Mailing address
7850 MISSION CENTER CT, SUITE #100, SAN DIEGO, CA 92108-1322
(619) 578-2232
(619) 578-2231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA2069
CA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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