Individual
CAROLINA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 SEAGLEN WAY, SAN DIEGO, CA 92154-5802
(619) 427-7453
Mailing address
5323 SEAGLEN WAY, SAN DIEGO, CA 92154-5802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
787207
CA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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