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Individual
AUTUMN MICHELLE FERNANDEZ
Active
Individual
AUTUMN MICHELLE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704287569
MI
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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