CARLO FERNANDES

MODESTO, CA
NPI1477907905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A17851)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MI  5101022830)
Enumeration Date2016-04-21
Last Update Date2025-06-17
Business Address
CARLO FERNANDES D.O
1524 MCHENRY AVE
MODESTO, CA 95350-4500
Phone number: 209-722-4842
Mailing Address
CARLO FERNANDES D.O
7916 LAKE ST
RIVER FOREST, IL 60305-1711
Phone number: 708-567-0007