Individual
CARLA VERONICA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3950 REYNOLDS RD, RIVERSIDE, CA 92503-3517
(833) 391-0505
Mailing address
528 W VALLEY BLVD APT 528, COLTON, CA 92324-2249
(951) 236-3296
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95166005
CA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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