(800) 868-1923

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: