Individual
JHOAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 PARADISE RD, MODESTO, CA 95351-3163
(209) 722-4842
Mailing address
1316 K ST, MODESTO, CA 95354-0918
(209) 522-1010
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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