Most Relevant Information
Provider Data
| NPI Number: | 1003297698 |
| Provider Name: | SANDRA FERNANDEZ MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2015 |
| Last Updated: | 07/01/2022 |
Provider Practice Location
6171 W CHARLESTON BLVD BLDG 7
LAS VEGAS
NV
891461126
Practice Location Phone/Fax
| Phone: | 7024867581 |
| Fax: | 7024867576 |
Provider Mailing Location
6171 W CHARLESTON BLVD BLDG 7
LAS VEGAS
NV
891461126
Provider Mailing Phone/Fax
| Phone: | 7024867581 |
| Fax: | 7024867576 |