Individual
SAMANTHA CHLOE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 W PATRICK LN STE 140, LAS VEGAS, NV 89118-5852
(702) 570-5100
Mailing address
11935 WEDGEBROOK ST, LAS VEGAS, NV 89183-5665
(808) 391-3798
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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