Individual
TEGAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4054 E BELLERIVE DR, CHANDLER, AZ 85249-4573
(480) 275-9219
Mailing address
4054 E BELLERIVE DR, CHANDLER, AZ 85249-4573
(480) 275-9219
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN170423
AZ
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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