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1063116192
TITA ROSE FERNANDEZ
SAN MATEO, CA
NPI
1063116192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
TITA ROSE FERNANDEZ
424 PENINSULA AVE
SAN MATEO, CA 94401-1653
Phone number: 650-286-4396
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Mailing Address
TITA ROSE FERNANDEZ
381 BAJA CT
BRENTWOOD, CA 94513-4273
Phone number: 510-676-2901
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