Individual
THERESE DUENAS-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BROADWAY STE 500, OAKLAND, CA 94607-4033
(510) 268-2464
(510) 267-3212
Mailing address
1236 DARTMOUTH AVE, SAN LEANDRO, CA 94579-1126
(510) 828-3767
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN45629
CA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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