Individual
ALAIN JEROME MOJICA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 651-4001
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 651-4001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
754193
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000516
CA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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