Individual
MS. GINA MICHELLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
14813 E RADCLIFF PL, AURORA, CO 80015
(303) 693-0771
Mailing address
14813 E RADCLIFF PL, AURORA, CO 80015-1322
(303) 693-0771
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
05/08/2023
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