Individual
MICHAEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 S MELROSE DR STE 343, VISTA, CA 92081-6641
(760) 470-5667
Mailing address
380 S MELROSE DR STE 343, VISTA, CA 92081-6641
(760) 206-6402
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1251419607
CA
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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