Individual
FERNANDO ESPARZA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1114 6TH ST, MODESTO, CA 95354-2203
(209) 576-2845
(209) 576-8842
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
12/15/2011
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