Individual
ANGELICA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 994-2764
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2023
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