Individual
CARLO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17752 SKY PARK CIR, IRVINE, CA 92614-6419
(949) 885-0300
Mailing address
385 S MANCHESTER AVE, UNIT 4025, ORANGE, CA 92868-3267
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48205
CA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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