Most Relevant Information
Provider Data
| NPI Number: | 1003427642 |
| Provider Name: | ANDREA FERNANDEZ FLORES |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 1856 |
Most Important Dates
| Enumeration Date: | 08/16/2020 |
| Last Updated: | 08/16/2020 |
Provider Practice Location
2600 DEMERS AVE STE 101
GRAND FORKS
ND
582014100
Practice Location Phone/Fax
| Phone: | 7017418057 |
| Fax: |
Provider Mailing Location
3111 24TH AVE S APT 206
GRAND FORKS
ND
582016558
Provider Mailing Phone/Fax
| Phone: | 9159293471 |
| Fax: |