Individual
MINERVA E FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3508 KENNEDY BLVD, UNION CITY, NJ 07087-2525
(201) 864-9129
Mailing address
556 JACOBSBURG RD, NAZARETH, PA 18064-9142
(202) 766-6093
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07902700
NJ
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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