Joseph Fernandez
Home Health Aide in Lithonia, GA. Individual provider (NPI-1).
NPI number1124587399
StatusActive
Last updated in NPPESMar 18, 2019
Details
- NPI
- 1124587399
- Entity type
- Individual (NPI-1)
- Name
- Joseph Fernandez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2019
- Last updated
- Mar 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
639 Woodstone RdLithonia, GA 30058-5948
Phone 352-256-4684
Mailing address
639 Woodstone RdLithonia, GA 30058-5948
Phone 352-256-4684
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