Individual
CAMILLE PATRICE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21118 MARKET RDG, SAN ANTONIO, TX 78258-4984
(855) 782-7822
Mailing address
21118 MARKET RDG, SAN ANTONIO, TX 78258-4984
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-167288
TX
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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