Individual
DANIELLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17607 ARCHLAND PASS RD, LUTZ, FL 33558-8034
(813) 210-1801
Mailing address
17607 ARCHLAND PASS RD, LUTZ, FL 33558-8034
(813) 210-1801
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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