Most Relevant Information
Provider Data
| NPI Number: | 1003356296 |
| Provider Name: | RONALD FERNANDES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/07/2017 |
| Last Updated: | 06/21/2023 |
Provider Practice Location
108 W VICTORIA ST
GARDENA
CA
902483523
Practice Location Phone/Fax
| Phone: | 3107152020 |
| Fax: |
Provider Mailing Location
67490 RIO VISTA DR
CATHEDRAL CITY
CA
922348632
Provider Mailing Phone/Fax
| Phone: | 9096460655 |
| Fax: |