Individual
YANET FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WINDY DUNE CT, KISSIMMEE, FL 34743-8358
(132) 144-4771
Mailing address
102 WINDY DUNE CT, KISSIMMEE, FL 34743-8358
(132) 144-4771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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