Individual
CASSANDRA Y FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BMS
Contact information
Practice address
907 W BOND ST, ESPANOLA, NM 87532-2738
(505) 747-0081
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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