Individual
MRS. DIVINA JAVIER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1801 E. MARCH LANE, STE C320, STOCKTON, CA 95210-6676
(209) 957-5888
(209) 477-9339
Mailing address
1801 E. MARCH LANE, STE C 320, STOCKTON, CA 95210-6676
(209) 957-5888
(209) 477-9339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN657995
CA
363L00000X
Nurse Practitioner
Primary
NP19792
CA
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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