Individual
DANICA MAE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
(909) 586-0509
Mailing address
2228 LOGGERS LN, ONTARIO, CA 91762-6721
(951) 818-5850
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
CA20328
CA
Other
Enumeration date
07/21/2021
Last updated
12/08/2021
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