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NPI Code Detail

MEDICARE: FRANCES MANUELA FERNANDEZ

MEDICARE: FRANCES MANUELA FERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerNV

General Provider Information

NPI Number : 1972945939
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES MANUELA FERNANDEZ
Provider Business Mailing Address
First Line : 2401 W BONANZA RD
Second Line : SUITE L
City : LAS VEGAS
State : NV
Zip : 89106-4774
Country : US
Telephone Number : 702-401-6673
Fax Number : 702-349-0041
Provider Business Practice Location Address
First Line : 2401 W BONANZA RD
Second Line : SUITE L
City : LAS VEGAS
State : NV
Zip : 89106-4774
Country : US
Telephone Number : 702-401-6673
Fax Number : 702-349-0041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2013
Last Update Date : 07/18/2013

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Directions to “ FRANCES MANUELA FERNANDEZ ” Practice Location

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