Individual
ALLAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2007 BUNDY AVE, DURHAM, NC 27704-3606
(919) 599-5767
Mailing address
2007 BUNDY AVE, DURHAM, NC 27704-3606
(919) 599-5767
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/07/2019
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