Individual
ANGELICA GRACE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9449 PINOT BLANC CT, ELK GROVE, CA 95624-4600
(916) 430-6989
Mailing address
9449 PINOT BLANC CT, ELK GROVE, CA 95624-4600
(916) 430-6989
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
244642
CA
364SL0600X
Long-Term Care Clinical Nurse Specialist
244642
CA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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