Individual
WILFRED FURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST RM HX-315, LEXINGTON, KY 40536-1702
(859) 323-5291
Mailing address
800 ROSE ST RM HX-315, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2021
Last updated
07/07/2024
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