Individual
ROSALIE P FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH
Contact information
Practice address
1211 MARIA WAY, OXNARD, CA 93030-5045
(805) 603-8655
Mailing address
1211 MARIA WAY, OXNARD, CA 93030-5045
(805) 603-8655
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PT27196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27196
PSYCHIATRIC TECHNICIAN
CA
Enumeration date
07/20/2011
Last updated
07/20/2011
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