GINA FERNANDO

ROCKFORD, IL
NPI1750907861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209021437)
Enumeration Date2020-06-24
Last Update Date2024-07-29
Business Address
GINA FERNANDO
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-708-0382
Mailing Address
GINA FERNANDO
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-708-0382