Individual
CARRIE JO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5598
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704244064
MI
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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