Earvin Jay Fernandez Tanedo
NPI #1093545089 in Berkeley, California
Provider Information
- NPI Number
- 1093545089
- Entity Type
- Individual
- Name
- Earvin Jay Fernandez Tanedo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 5, 2024
- Last Updated
- Aug 5, 2024
Practice Location
- Address
- 2640 MARTIN LUTHER KING JR WAY
- City
- Berkeley
- State
- California
- ZIP Code
- 94704-3238
- Phone
- (510) 714-0996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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