Individual
MRS. ALEJANDRA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 LA SENA AVE, BALDWIN PARK, CA 91706-1951
(626) 367-1129
Mailing address
4840 LA SENA AVE, BALDWIN PARK, CA 91706-1951
(626) 337-9634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D8220414
CA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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