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Individual

DR. JESSE FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
5024 DORSEY HALL DR, SUITE 103, ELLICOTT CITY, MD 21042-7869
(410) 740-1047
Mailing address
5024 DORSEY HALL DR, SUITE 103, ELLICOTT CITY, MD 21042-7869
(410) 740-1047

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23114
MD

Other

Enumeration date
11/20/2009
Last updated
11/20/2009
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