Individual
MS. CARMEN YADIRA FENOLLAL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9050 NW 28TH ST APT 120, CORAL SPRINGS, FL 33065-5213
(130) 576-7810
Mailing address
9050 NW 28TH ST APT 120, CORAL SPRINGS, FL 33065-5213
(787) 398-7614
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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