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Individual

KATRINA FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
901 OLMSTEAD DR APT 69, HINESVILLE, GA 31313-2109
(912) 255-9930
Mailing address
901 OLMSTEAD DR APT 69, HINESVILLE, GA 31313-2109
(912) 255-9930

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
25108443
GA

Other

Enumeration date
06/09/2025
Last updated
07/29/2025
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