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Individual
CRYSTAL HERNANDEZ
Active
Individual
CRYSTAL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA18394
FL
390200000X
Student in an Organized Health Care Education/Training Program
SZ9327
FL
Other
Enumeration date
09/09/2019
Last updated
03/24/2022
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