Individual
GABRIEL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.V.N.
Contact information
Practice address
712 AL SMITH, EL PASO, TX 79932-4105
(915) 877-4305
Mailing address
712 AL SMITH, EL PASO, TX 79932-4105
(915) 877-4305
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
203501
TX
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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