Individual
MRS. MARTHA S FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 SAMUELL BLVD APT 105, MESQUITE, TX 75149-1057
(972) 977-7436
Mailing address
4701 SAMUELL BLVD APT 105, MESQUITE, TX 75149-1057
(972) 977-7436
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
30-0503572
TX
251B00000X
Case Management Agency
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Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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