Individual
TERESA SERNA-FONSECA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, MC 5700H, LOMA LINDA, CA 92354-2804
(909) 558-8393
Mailing address
24214 KHAN DR, LOMA LINDA, CA 92354-4877
(909) 799-3089
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP6405
CA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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