Individual
GABRIEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
7212 ORANGETHORPE AVE, SUITE 9A, BUENA PARK, CA 90621-3341
(714) 503-6550
Mailing address
2024 E COMMONWEALTH AVE, APT C, FULLERTON, CA 92831-4841
(510) 648-6377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
738583
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95001941
CA
Other
Enumeration date
03/07/2015
Last updated
01/18/2017
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