Individual
CAROL LYNN FERNANDEZ GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1155 TOCIA AVE, VACAVILLE, CA 95687-5699
(707) 628-5203
Mailing address
1155 TOCIA AVE, VACAVILLE, CA 95687-5699
(707) 628-5203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95144586
CA
Other
Enumeration date
10/19/2024
Last updated
10/19/2024
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