Individual
AMY JO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1295 BROADWAY, SUITE 201, CHULA VISTA, CA 91911-2982
(888) 743-7526
(619) 291-0959
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
(619) 291-0959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95087644
CA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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