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Individual

DR. NATHANIAL FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
34730 BOB WILSON DR, SAN DIEGO, CA 92134-3098
(619) 532-7177
Mailing address
34730 BOB WILSON DR, SAN DIEGO, CA 92134-3098
(619) 532-7177

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C165627
CA
2086S0129X
Vascular Surgery Physician
Primary
C165627
CA

Other

Enumeration date
01/18/2007
Last updated
11/14/2024
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