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1093441875
ANTHONY RAYMOND FERNANDEZ
LOS ANGELES, CA
NPI
1093441875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95022000)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
ANTHONY RAYMOND FERNANDEZ PMHNP, MSN, RN
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006-6507
Phone number: 213-550-2159
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Mailing Address
ANTHONY RAYMOND FERNANDEZ PMHNP, MSN, RN
26946 FAYENCE DR
MURRIETA, CA 92562-4506
Phone number: 951-809-1099
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