Individual
JOSE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3225 FARMERS MARKET WAY, EDMOND, OK 73034-6159
(405) 887-4620
Mailing address
3225 FARMERS MARKET WAY, EDMOND, OK 73034-6159
(405) 887-4620
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
424376
OK
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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