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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN FORD FERNANDO

Active Sole Proprietor

GLENN FORD FERNANDO is a Licensed Practical Nurse healthcare provider located in MORENO VALLEY, California. NPI 1912377441 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MORENO VALLEY, CA

Registration Details

NPI Number
1912377441
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2015 (10.908803511859 yrs)
Last Updated
Sep 26, 2015
License
286155 (CA)
Sole Proprietor
Yes

Practice Information

Address
26437 HOBART CIR
MORENO VALLEY, CA, 925552553
Browse CA providers · Browse ZIP 92555
Phone
9512369910
Primary Specialty
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.