Individual
PRISCILLA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 HOBBS RD, HAMILTON, NJ 08619-3633
(732) 619-4677
Mailing address
17 HOBBS RD, HAMILTON, NJ 08619-3633
(732) 619-4677
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
347C00000X
Private Vehicle
F27186330051712
NJ
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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