Individual
MRS. DIANE MARIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2000
Mailing address
154 CHESTNUT DR, HERCULES, CA 94547-1310
(510) 799-5283
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU-1206
CA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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