FERNANDO MEDIANO

LA JOLLA, CA
NPI1730558743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP95005764)
Enumeration Date2015-09-20
Last Update Date2017-09-25
Business Address
-- FERNANDO MEDIANO
9300 CAMPUS POINT DR
LA JOLLA, CA 92037-1300
Phone number: 858-657-8540
Mailing Address
-- FERNANDO MEDIANO
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: