Individual
OLIVIA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3150 HULL RD, GAINESVILLE, FL 32611-2760
(814) 860-6259
Mailing address
3150 HULL RD, GAINESVILLE, FL 32611-2760
(814) 860-6259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3764
FL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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