JOSE TEODORO FERNANDEZ

SAN DIEGO, CA
NPI1851880512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-05-08
Last Update Date2023-01-17
Business Address
JOSE TEODORO FERNANDEZ
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-8135
Mailing Address
JOSE TEODORO FERNANDEZ
PO BOX 99116
YUMA, AZ 85369-9116
Phone number:
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