Individual
YELENA OLIVA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SURGICAL ASSISTANT
Contact information
Practice address
4169 MADISON ST, AVE MARIA, FL 34142-5019
(239) 692-1434
Mailing address
4169 MADISON ST, AVE MARIA, FL 34142-5019
(239) 692-1434
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-496
FL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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