Antionette Arriola Fernandez
Rehabilitation Practitioner in San Jose, CA. Individual provider (NPI-1).
NPI number1154776698
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1154776698
- Entity type
- Individual (NPI-1)
- Name
- Antionette Arriola Fernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2016
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
86 S 14th StSan Jose, CA 95112-2015
Phone 408-510-7080 · Fax 408-510-7081
Mailing address
86 S 14th StSan Jose, CA 95112-2015
Phone 408-510-7080
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