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Individual

KENNETH FERNANDEZ CAGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6206 E SUSSEX WAY, FRESNO, CA 93727-7944
(559) 309-1329
Mailing address
6206 E SUSSEX WAY, FRESNO, CA 93727-7944

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8520
CA

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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