Organization
SUSAN R FERNANDEZ PC
Active
Other names
HORIZON RIDGE PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE T SAN JOSE (OFFICE MANAGER)
(702) 263-1908
Entity
Organization
Contact information
Practice address
2621 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-2895
(702) 263-1908
(702) 263-0195
Mailing address
2621 W HORIZON RIDGE PKWY #100, HENDERSON, NV 89052
(702) 263-1908
(702) 263-0195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018477
—
NV
Enumeration date
03/15/2007
Last updated
06/19/2008
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