Individual
DEYSI FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8000 NW 155TH ST, MIAMI LAKES, FL 33016-5880
(305) 824-1924
Mailing address
8000 NW 155TH ST, MIAMI LAKES, FL 33016-5880
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA66732
FL
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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