Individual
EDIEN FERNANDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 MCKEE RD, HARVEST, AL 35749-9564
(256) 604-6861
Mailing address
218 MCKEE RD, HARVEST, AL 35749-9564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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