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Individual

JUAN DIEGO FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-2613
(952) 270-0066
Mailing address
9040A JACKSON AVE NEUROLOGY CLINIC, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(952) 270-0066

Taxonomy

Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
A185789
CA
2084N0400X
Neurology Physician
A185789
CA

Other

Enumeration date
04/15/2017
Last updated
07/31/2024
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