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Individual

PAOLA FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 MILL AVE S STE 10, RENTON, WA 98057-2175
(142) 522-6506
Mailing address
200 MILL AVE S STE 10, RENTON, WA 98057-2175
(142) 522-6506

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60251304
WA

Other

Enumeration date
12/07/2018
Last updated
12/07/2018
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