Dominic R Fernandez, BMS
NPI #1194058271 in Santa Rosa, New Mexico
Provider Information
- NPI Number
- 1194058271
- Entity Type
- Individual
- Name
- Dominic R Fernandez, BMS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- BMS
- Enumeration Date
- Sep 8, 2009
- Last Updated
- Sep 8, 2009
Practice Location
- Address
- 501 S 4TH ST
- City
- Santa Rosa
- State
- New Mexico
- ZIP Code
- 88435-2417
- Phone
- (575) 472-0745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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