Provider Information for 1336281948
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Mr. ABEL FERNANDEZ LCSW
Sex: Male
NPI: 1336281948
Last Updated: 2017-05-12
Certification Date:
Certification Date:
Details
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NPI | 1336281948 | ||||||||
Enumeration Date | 2007-02-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 347 BONITO AVE IMPERIAL BEACH, CA 91932-1105 United States Phone: 805-735-4376 | Fax:805-737-3251 | ||||||||
Primary Practice Address | 347 BONITO AVE IMPERIAL BEACH, CA 91932-1105 United States Phone: 805-735-4376 | Fax:805-737-3251 | ||||||||
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