Individual
ELIZABETH OCSO FERNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3576 SANTIAGO AVE, MERCED, CA 95348-9500
(209) 617-0704
Mailing address
3576 SANTIAGO AVE, MERCED, CA 95348-9500
(209) 617-0704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003626
CA
Other
Enumeration date
02/11/2016
Last updated
06/03/2016
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