Individual
JULLISSA THAIS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
PO BOX 191227, SAN JUAN, PR 00919-1227
(787) 758-2000
Mailing address
ALTURAS DE FLAMBOYAN, C-8 CALLE 6, BAYAMON, PR 00959-8140
(787) 565-3750
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
85298
PR
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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