Individual
ROSALEE M MARES FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4631 MERLE HAY RD, DES MOINES, IA 50322-1962
(515) 278-0949
(515) 278-6721
Mailing address
4631 MERLE HAY RD, DES MOINES, IA 50322-1962
(515) 278-0949
(515) 278-6721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000990
IA
Other
Enumeration date
01/06/2006
Last updated
11/02/2007
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