Luis Fernandez's National Provider Identifier (NPI) Details
Luis Fernandez, intern-LCSW
NPI: 1104449693
Enumeration Date: 2020-05-19
Last updated: 2021-01-30
Sole Proprietor: YES
Status: active
Postal Address: 4580 S EASTERN AVE STE 29, LAS VEGAS, NV
Phone: 702-401-0811
Primary Practice Address: 4580 S EASTERN AVE STE 29, LAS VEGAS, NV
Practice's phone: 702-401-0811