Individual
MARK ANDREW FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
(510) 428-1751
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 653-5040
(510) 428-1751
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
387277
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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