Most Relevant Information
Provider Data
NPI Number: | 1003559303 |
Provider Name: | GABRIELLA FERNANDEZ |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/15/2022 |
Last Updated: | 04/15/2022 |
Provider Practice Location
496 SE MIAMI LOOP APT 5
FAYETTEVILLE
AR
727016961
Practice Location Phone/Fax
Phone: | 3615719345 |
Fax: |
Provider Mailing Location
496 SE MIAMI LOOP APT 5
FAYETTEVILLE
AR
727016961
Provider Mailing Phone/Fax
Phone: | 3615719345 |
Fax: |