Individual
WALDO UZIEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2417 KESTRAL BLVD APT H, WEST LAFAYETTE, IN 47906-6541
(956) 250-4781
Mailing address
2417 KESTRAL BLVD APT H, WEST LAFAYETTE, IN 47906-6541
(956) 250-4781
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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