Individual
MS. MONICA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17218 N 72ND DR, SUITE 100, GLENDALE, AZ 85308-8580
(623) 334-8670
Mailing address
6233 WEST BEHREND DR., APT 2046, GLENDALE, AZ 85308
(623) 363-9945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3717
AZ
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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