Individual
SUSAN RIZAL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2621 W HORIZON RIDGE PKWY, #100, HENDERSON, NV 89052-2895
(702) 263-1908
(702) 263-0195
Mailing address
2621 W HORIZON RIDGE PKWY, #100, HENDERSON, NV 89052-2895
(702) 263-1908
(702) 263-0195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9740
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003102477
—
NV
Enumeration date
08/21/2006
Last updated
02/09/2015
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