Individual
FERNANDA RAQUEL MARCHAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-334
WI
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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