Individual
LIUDMILA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
4308 S DELIGHTED CIR, COLORADO SPRINGS, CO 80917-1500
(719) 330-0943
Mailing address
4308 S DELIGHTED CIR, COLORADO SPRINGS, CO 80917-1500
(719) 330-0943
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-106
CO
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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