Individual
MARTHA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 W OKEECHOBEE RD LOT 68, HIALEAH, FL 33010-1058
(786) 445-6278
Mailing address
2775 W OKEECHOBEE RD LOT 68, HIALEAH, FL 33010-1058
(786) 445-6278
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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