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FERNANDO RODRIGUEZ VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1716 RAVENNA AVE, WILMINGTON, CA 90744-1327
(310) 469-3753
Mailing address
1716 RAVENNA AVE, WILMINGTON, CA 90744-1327
(310) 469-3753

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95021310
CA

Other

Enumeration date
10/19/2022
Last updated
10/19/2022
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