ANDRE LAGE FERNANDES

TAMPA, FL
NPI1669981726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  PSI33186)
Enumeration Date2017-09-21
Last Update Date2017-09-21
Business Address
ANDRE LAGE FERNANDES
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4742
Phone number: 813-974-5699
Mailing Address
ANDRE LAGE FERNANDES
17110 CARRINGTON PARK DR APT 824
TAMPA, FL 33647-2632
Phone number: 407-437-6637
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