Provider Demographics
NPI:1801818620
Name:FERNANDEZ, PILAR (DC)
Entity Type:Individual
Prefix:
First Name:PILAR
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:PILAR
Other - Middle Name:
Other - Last Name:FERNANDEZ-TOPPO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:3551 PAHRUMP VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-8101
Mailing Address - Country:US
Mailing Address - Phone:775-727-1188
Mailing Address - Fax:775-727-1195
Practice Address - Street 1:1470 E CALVADA BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-3905
Practice Address - Country:US
Practice Address - Phone:775-727-1188
Practice Address - Fax:775-727-1195
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00763111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor