Individual
JESUS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
Mailing address
1835 PARK AVE, SAN JOSE, CA 95126-1629
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
06/18/2025
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