Individual
DR. JEREMIAH ISAAC HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2230 N. UNIVERSITY PKWY, BLDG 5, STE A, PROVO, UT 84604-1509
(801) 210-0669
Mailing address
33 E 145 N, OREM, UT 84057-5529
(708) 524-4528
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12295051-1202
UT
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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