Individual
ANTOINETTE MARIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9810
Mailing address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13683
CA
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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