Individual
MS. KATHLEEN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4201 RODEO RD, SANTA FE, NM 87507-4837
(505) 471-0152
Mailing address
4201 RODEO RD, SANTA FE, NM 87507-4837
(505) 471-0152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005491
NM
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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