Individual
MRS. MARIA ELENA DEFERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8290
Mailing address
BELLEFROIDLUNET 10F, MAASTRICHT, LIMBURG 6221K-N
31433211080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4515
MN
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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