Individual
MANUEL FERNANDEZ CUERVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1537 GILBERT AVE S, LEHIGH ACRES, FL 33973-2670
(786) 970-8480
Mailing address
1537 GILBERT AVE S, LEHIGH ACRES, FL 33973-2670
(786) 970-8480
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN5204340
FL
Other
Enumeration date
06/05/2019
Last updated
06/10/2019
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