GLENN FORD FERNANDO

MORENO VALLEY, CA
NPI1912377441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CA  286155)
Enumeration Date2015-09-26
Last Update Date2015-09-26
Business Address
-- GLENN FORD FERNANDO
26437 HOBART CIR
MORENO VALLEY, CA 92555-2553
Phone number: 951-236-9910
Mailing Address
-- GLENN FORD FERNANDO
26437 HOBART CIR
MORENO VALLEY, CA 92555-2553
Phone number: 951-236-9910