Individual
GIL LUCAS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT, CPFT
Contact information
Practice address
1803 MORNING DOVE LN, REDLANDS, CA 92373-4338
(909) 253-1287
Mailing address
1803 MORNING DOVE LN, REDLANDS, CA 92373-4338
(909) 253-1287
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
21572
CA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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