Individual
DIANE JENNIFER FERNANDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5180 W ATLANTIC AVE STE 114, DELRAY BEACH, FL 33484-8103
(561) 674-9996
Mailing address
2305 N CONGRESS AVE APT 16, BOYNTON BEACH, FL 33426-8644
(561) 945-3053
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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