Individual
RICARDO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
11335 SSG SIMS ST, FORT BLISS, TX 79918-8033
(915) 742-1062
Mailing address
3436 MCLEAN ST, EL PASO, TX 79936-1718
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
619992
TX
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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