Individual provider · NPI-1

Blanca Carreon Fernandez

Case Manager/Care Coordinator · Clovis, CA

NPI number1073094256
StatusActive
Last updated in NPPESMay 29, 2019

Details

NPI
1073094256
Entity type
Individual (NPI-1)
Name
Blanca Carreon Fernandez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2018
Last updated
May 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

2565 Alluvial Ave
Clovis, CA 93611-9502

Phone 559-348-9225

Mailing address

2565 Alluvial Ave
Clovis, CA 93611-9502

Phone 559-348-9225

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