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Lisvan Carrero Fernandez SR.
Student in an Organized Health Care Education/Training Program in College Park, Maryland
NPI 1932842432

Lisvan Carrero Fernandez SR. is a Student in an Organized Health Care Education/Training Program based in College Park, MD. Lisvan Carrero Fernandez SR. practices in College Park, MD. The NPI Number for Lisvan Carrero Fernandez SR. is 1932842432 and holds a License No. (Maryland).

The current practice location address for Lisvan Carrero Fernandez SR. is 10205 Baltimore Ave Apt 7206, College Park, MD and can be reached out via phone at 786-659-7896.

Location: 10205 Baltimore Ave Apt 7206, College Park, MD, 20740-4244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932842432
Provider Name
Lisvan Carrero Fernandez SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
10205 Baltimore Ave Apt 7206, College Park, MD, 20740-4244
Phone Number
786-659-7896
Fax Number
Provider Enumeration Date
04/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10205 Baltimore Ave Apt 7206
City
College Park
State
Maryland
Zip
20740-4244
Phone Number
786-659-7896
Fax Number
person
Provider Business Mailing Address Details
Address
10205 Baltimore Ave Apt 7206
City
College Park
State
Maryland
Zip
20740-4244
Phone Number
786-659-7896
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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