Individual
JEANINE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-3518
Mailing address
STREET 2 B5, MANSIONES DEL TOA, TOA ALTA, PR 00953-2226
(787) 667-8200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1795
PR
367500000X
Certified Registered Nurse Anesthetist
Primary
9358100
FL
Other
Enumeration date
10/25/2012
Last updated
07/17/2013
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