Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor |
NPI | 1285258509 |
---|---|
Provider Name | Fernanda Figueroa |
First Address | San Diego, CA 92154-1444 |
Second Address | San Diego, CA 92154-1444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2020 |
Last Update Date | 04/05/2021 |