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Individual

GINNY GAYLE FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
7075 N FRESNO ST, 102, FRESNO, CA 93720-6851
(559) 299-8800
(559) 299-9944
Mailing address
190 JORDAN AVE, CLOVIS, CA 93611-7086
(559) 299-9905
(559) 299-8839

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
280892
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
280892
CALIFORNIA LICENSE
CA
01
NPF8889
NURSE PRACTITIONER
CA
Enumeration date
04/02/2007
Last updated
05/18/2009
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