Individual
CHRISTALINE NUVAL FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5110
Mailing address
6159 DUNN AVE, SAN JOSE, CA 95123-4827
(707) 567-5439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
390200000X
CA
Other
Enumeration date
05/23/2008
Last updated
05/17/2011
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