Individual
MICHAEL EDWARD FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C , P.T.A.
Contact information
Practice address
1202 W EDINGER AVE, SANTA ANA, CA 92707-2126
(714) 957-3781
(714) 641-3698
Mailing address
1351 E 1ST ST, TUSTIN, CA 92780-4569
(714) 957-3781
(714) 641-3698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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