Individual
LEONOR PABON FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 V ST, PATH BUILDING, SACRAMENTO, CA 95817-1445
(916) 734-3327
Mailing address
4400 V ST, PATH BUILDING, SACRAMENTO, CA 95817-1445
(916) 734-3327
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A29463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A294630
MEDICAL
CA
Enumeration date
06/18/2006
Last updated
10/30/2007
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