Individual
RAUL ALFREDO FAGUNDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
483 E 20TH ST, HIALEAH, FL 33013-4135
(786) 704-5176
Mailing address
483 E 20TH ST, HIALEAH, FL 33013-4135
(786) 704-5176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9328451
FL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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