Individual
LYANNE MARLEN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 SPENCER HWY APT 1114, PASADENA, TX 77505
(956) 204-5190
Mailing address
6565 SPENCER HWY APT 1114, PASADENA, TX 77505-1758
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38955
TX
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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