Individual
BEVERLY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9394
(909) 421-9219
Mailing address
240 E 41ST ST, SAN BERNARDINO, CA 92404-1306
(909) 421-9394
(909) 421-9219
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717410
CA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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