Individual
LORI MARIE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CNSD
Contact information
Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-4257
(408) 236-4973
Mailing address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-4257
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
02/11/2022
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