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1679893747
ILEANA FERNANDEZ
PASADENA, CA
NPI
1679893747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-10
Last Update Date
2019-07-09
Business Address
ILEANA FERNANDEZ
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 909-538-5842
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Mailing Address
ILEANA FERNANDEZ
229 CARY LN
POMONA, CA 91767-2326
Phone number: 909-538-5842
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