Individual
DEBORAH FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(925) 813-6375
Mailing address
670 MORAGA RD, LAFAYETTE, CA 94549-4914
(510) 910-2843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C55487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C55487
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
08/01/2006
Last updated
01/04/2022
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