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Individual

SARA NICOLE FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC, CES

Contact information

Practice address
13764 OAK ST, KANSAS CITY, MO 64145-1488
(913) 522-6623
Mailing address
8046 MOHAWK ST APT 202, PRAIRIE VILLAGE, KS 66208-5153
(913) 522-6623

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006027558
MO
2255A2300X
Athletic Trainer
24-00872
KS

Other

Enumeration date
02/17/2022
Last updated
02/17/2022
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