Individual
GRETCHEN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 47TH AVE, SACRAMENTO, CA 95824-3957
(916) 559-1851
Mailing address
4600 47TH AVE, SACRAMENTO, CA 95824-3923
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/06/2019
Last updated
10/21/2025
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