Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 204459 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | C52749 | CA |
NPI | 1003843699 |
---|---|
Provider Name | Dr. Sylvia Fernandes |
First Address | Stockton, CA 95210-3377 |
Second Address | Stockton, CA 95210-3377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 06/01/2022 |