Individual
CHRYSTAL FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N UTICA DR APT 324, LUBBOCK, TX 79416-3034
(754) 245-2934
Mailing address
315 N UTICA DR APT 324, LUBBOCK, TX 79416-3034
(754) 245-2934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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