Individual
INGRID WENDY FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3052 WILLOW PASS RD, CONCORD, CA 94519-2552
(925) 681-4100
(925) 370-5142
Mailing address
331 C ST, MARTINEZ, CA 94553-3137
(925) 370-5590
(925) 370-5142
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C130373
CA
207RI0200X
Infectious Disease Physician
Primary
C130373
CA
Other
Enumeration date
08/09/2005
Last updated
11/09/2021
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