Individual
JESSICA NICOLE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21703 KINGSLAND BLVD STE 100, KATY, TX 77450-2521
(281) 769-1015
Mailing address
2643 W FM 1093 RD, WALLIS, TX 77485-9033
(979) 627-3109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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