Individual
ABEL EULOGIO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7733 W CROCUS DR, PEORIA, AZ 85381-8522
(623) 313-3436
Mailing address
7733 W CROCUS DR, PEORIA, AZ 85381-8522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-001712
AZ
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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