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Individual

FERNANDO PADILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
740808
CA

Other

Enumeration date
04/30/2024
Last updated
04/30/2024
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