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: |