MARISOL FERNANDEZ

LOS ANGELES, CA
NPI1326446709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-12-17
Last Update Date2014-12-17
Business Address
-- MARISOL FERNANDEZ SFIDC
5929 DENVER AVE
LOS ANGELES, CA 90044-6319
Phone number: 310-740-5109
Mailing Address
-- MARISOL FERNANDEZ SFIDC
5929 DENVER AVE
LOS ANGELES, CA 90044-6319
Phone number: 310-740-5109