Individual
MARCIA M. FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
11078 MATINAL CIR, SAN DIEGO, CA 92127-1260
(858) 705-0447
(858) 451-2094
Mailing address
11078 MATINAL CIR, SAN DIEGO, CA 92127-1260
(858) 705-0447
(858) 451-2094
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
214
CA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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