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Individual

NICOLETTE FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3401 CEDAR AVE, LONG BEACH, CA 90807-4422
(562) 426-4461
Mailing address
7605 EL CAPITAN WAY, BUENA PARK, CA 90620-1818
(714) 321-0647

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3614
CA

Other

Enumeration date
12/27/2019
Last updated
12/27/2019
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