Individual
MAYELI IVETTE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 MONTANA AVE STE G&H, EL PASO, TX 79925-2155
(915) 838-7604
Mailing address
6601 MONTANA AVE STE G&H, EL PASO, TX 79925-2155
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41593
TX
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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