| NPI | 1528291556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR RENE FERNANDEZ Owner/Md 559-324-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17818) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |