Most Relevant Information
Provider Data
NPI Number: | 1003044512 |
Provider Name: | BRUNA FERNANDES |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/24/2009 |
Last Updated: | 06/24/2009 |
Provider Practice Location
671 HOES LN W
PISCATAWAY
NJ
088548021
Practice Location Phone/Fax
Phone: | 8009695300 |
Fax: |
Provider Mailing Location
671 HOES LN W
PISCATAWAY
NJ
088548021
Provider Mailing Phone/Fax
Phone: | |
Fax: |