Individual
ANA MARIA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 S 34TH ST SPC 33, SAN JOSE, CA 95116-2910
(408) 903-5301
Mailing address
655 S 34TH ST SPC 33, SAN JOSE, CA 95116-2910
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
11/22/2019
Last updated
11/22/2019
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