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Individual

WALTER FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203
(704) 719-0369
Mailing address
10241 CULPEPPER CT, HARRISBURG, NC 28075
(704) 719-0369

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
288725
NC

Other

Enumeration date
01/05/2021
Last updated
01/05/2021
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