Individual
DANA D FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 1, BATON ROUGE, LA 70806-5820
(225) 925-0774
(225) 925-9187
Mailing address
4615 GOVERNMENT ST, BUILDING 1, BATON ROUGE, LA 70806-5820
(225) 925-0774
(225) 925-9187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
261012
LA
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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