Individual
ELOISA FERNANDEZ FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
923 MENLO AVENUE, #3, MENLO PARK, CA 94025
(650) 566-8763
Mailing address
923 MENLO AVE APT 3, MENLO PARK, CA 94025-4623
(650) 566-8763
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A88207
CA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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