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Individual
MRS. MINERVA A FERNANDEZ
Active
Individual
MRS. MINERVA A FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1318357
TX
225100000X
Physical Therapist
40QA01064300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7734649
AETNA
NJ
01
—
OXFORD
P2846008
NJ
Enumeration date
06/15/2006
Last updated
05/15/2023
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