Individual
ESTELA FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5329 24TH STREET CT E, BRADENTON, FL 34203-4929
(941) 524-0946
Mailing address
5329 24TH STREET CT E, BRADENTON, FL 34203-4929
(941) 524-0946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9186738
FL
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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