| Tyler Dalton Fernandez I, LVN | |
|
11761 Ridge Rd, Grass Valley, CA 95945-5025 | |
| (530) 273-4431 | |
| (530) 272-1512 |
| Full Name | Tyler Dalton Fernandez I |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 11761 Ridge Rd, Grass Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508623059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 700729 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Dalton Fernandez I, LVN 11761 Ridge Rd, Grass Valley, CA 95945-5025 Ph: (530) 273-4431 | Tyler Dalton Fernandez I, LVN 11761 Ridge Rd, Grass Valley, CA 95945-5025 Ph: (530) 273-4431 |
Chelsea Nesmejanow, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-271-1140 Fax: 530-271-7036 | |
Adrienne Berg, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 Crown Point Cir, Grass Valley, CA 95945 Phone: 530-470-2425 | |
Nicole Sauls, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-273-9541 | |
Mr. Nickolas Robinson, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 145 Glasson Way, Grass Valley, CA 95945 Phone: 530-470-2425 | |
Valarie D Murray, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 159 Brentwood Dr, Grass Valley, CA 95945 Phone: 530-273-9541 | |
Michelle Otten, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-271-1140 Fax: 530-271-7036 | |
Monika J Black, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-273-9541 |