Individual
VERA FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 EUGENIA ST, NEW BEDFORD, MA 02745-5232
(508) 858-1702
Mailing address
191 EUGENIA ST, NEW BEDFORD, MA 02745-5232
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
MA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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