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Individual

MR. FERNANDO PALIS CABLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1637
(858) 694-4977
Mailing address
721 BAYLOR AVE, BONITA, CA 91902-4029
(619) 421-8656

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1374
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
437855
NBCOT
Enumeration date
06/21/2007
Last updated
10/23/2021
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