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Individual

JENARO ALBERTO FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
21 CALLE EMILIO RUIZ, SAN SEBASTIAN, PR 00685-2202
(787) 280-0088
Mailing address
PO BOX 825, ISABELA, PR 00662-0825
(787) 677-1839

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
427
PR

Other

Enumeration date
08/06/2007
Last updated
08/06/2007
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