Individual
KENIA D ANGELO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.B, RPH
Contact information
Practice address
12600 SW 120TH ST, MIAMI, FL 33186-9066
(305) 506-1472
Mailing address
12600 SW 120TH ST, MIAMI, FL 33186-9066
(305) 506-1572
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PS40517
FL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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