Individual
CHRISTIAN JOSE FERNANDEZ MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2770 S MARYLAND PKWY STE 200, LAS VEGAS, NV 89109-1554
(702) 478-9594
Mailing address
9599 W CHARLESTON BLVD APT 2161, LAS VEGAS, NV 89117-6678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01996
NV
Other
Enumeration date
09/05/2023
Last updated
05/23/2024
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