JONATHAN BALLENA FERNANDEZ

OCEANSIDE, CA
NPI1689054066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  287436)
Enumeration Date2015-06-01
Last Update Date2015-06-01
Business Address
-- JONATHAN BALLENA FERNANDEZ
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-439-2800
Mailing Address
-- JONATHAN BALLENA FERNANDEZ
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: