Individual
ALISHA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 ENCLAVE CIR, APT 202, COSTA MESA, CA 92626-8203
(714) 425-4183
Mailing address
422 ENCLAVE CIRCLE, APT 202, COSTA MESA, CA 92626
(714) 425-4183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40744
CA
Other
Enumeration date
01/24/2014
Last updated
07/09/2014
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