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Individual

JULIE Y. FERNANADEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2301 SOUTH LAMAR BLVD., OXFORD, MS 38655
(662) 232-8100
(334) 244-1830
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2053
(334) 244-1830

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R097260
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122934
MS
Enumeration date
11/02/2006
Last updated
07/09/2007
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