Individual
DANIEL FERNANDEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 W ODEUM LN, PHOENIX, AZ 85043-6595
(480) 669-4430
Mailing address
5323 W ODEUM LN, PHOENIX, AZ 85043-6595
(480) 669-4430
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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