SearchCalifornia164X00000X

Angelica Fernandez

NPI 1760252126 · on the registry since 2024

Practice

Address
9449 Pinot Blanc Ct
Elk Grove, CA 95624
Phone
(916) 430-6989
Organisation at this address
Graccious
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164X00000X
164X00000X
Also registered as
364SL0600X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California