Individual
RACHEL FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 N 43RD ST, OMAHA, NE 68131-1727
(316) 992-9547
Mailing address
810 N 43RD ST, OMAHA, NE 68131-1727
(316) 992-9547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7831
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2022
Last updated
07/18/2022
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