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Individual
RICARDO FERNANDEZ
Active
Individual
RICARDO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.288202
IL
183500000X
Pharmacist
34766
TX
183500000X
Pharmacist
Primary
RP00007105
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.288202
NEW MEXICO IMMUNIZATION
NM
Enumeration date
09/01/2009
Last updated
09/01/2009
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