Most Relevant Information
Provider Data
| NPI Number: | 1003687468 |
| Provider Name: | MAYRA FERNANDEZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95229194 |
Most Important Dates
| Enumeration Date: | 01/12/2024 |
| Last Updated: | 01/12/2024 |
Provider Practice Location
3250 W AVENUE L
LANCASTER
CA
935364127
Practice Location Phone/Fax
| Phone: | 6618021692 |
| Fax: |
Provider Mailing Location
3250 W AVENUE L
LANCASTER
CA
935364127
Provider Mailing Phone/Fax
| Phone: | 6618021692 |
| Fax: |