Individual
MARIA LORETO FERNANDEZ PUIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 N 1ST ST, DEFUNIAK SPRINGS, FL 32433-8352
(224) 623-7388
Mailing address
834 N 1ST ST, DEFUNIAK SPRINGS, FL 32433-8352
(224) 623-7388
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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