LAEL FERNANDEZ

SAN DIEGO, CA
NPI1588050306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-04-08
Last Update Date2015-04-08
Business Address
-- LAEL FERNANDEZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 956-358-3140
Mailing Address
-- LAEL FERNANDEZ IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 956-358-3140
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