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Individual

MS. JENIALEEN FERNANDEZ FONSECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
URB. LOS ANGELES CALLE ACUARIO 101, ISLA VERDE, CAROLINA, PR 00919-0919
(939) 630-9243
Mailing address
HC 2 BOX 29424, CAGUAS, PR 00727-9475
(939) 630-9243

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15554
PR

Other

Enumeration date
10/12/2012
Last updated
10/12/2012
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