NICHOLAS EMILE FERNANDO

DAKOTA DUNES, SD
NPI1023010162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: SD  0401)
Enumeration Date2005-06-01
Last Update Date2017-12-07
Business Address
NICHOLAS EMILE FERNANDO PA-C
101 TOWER RD SUITE 103
DAKOTA DUNES, SD 57049-5007
Phone number: 605-217-7246
Mailing Address
NICHOLAS EMILE FERNANDO PA-C
917 WYNSTONE RD
JEFFERSON, SD 57038-6875
Phone number: 605-422-3102
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