Individual
ELENA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21722 147TH ST E, BONNEY LAKE, WA 98391-7540
(253) 222-9506
Mailing address
21722 147TH ST E, BONNEY LAKE, WA 98391-7540
(253) 222-9506
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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