Individual
JAISTEMMI FERNANDEZ LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5275 N ABBE RD, SHEFFIELD VILLAGE, OH 44035-1451
(440) 934-9158
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
166988.MEDS-IV
OH
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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