Individual
ANTHONY RAYMOND FERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP, MSN, RN
Contact information
Practice address
3030 W OLYMPIC BLVD STE 217, LOS ANGELES, CA 90006-6507
(213) 550-2159
Mailing address
26946 FAYENCE DR, MURRIETA, CA 92562-4506
(951) 809-1099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022000
CA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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