Individual
KEREN ELIZABETH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
815 N O'CONNOR RD, IRVING, TX 75061
(972) 579-0511
Mailing address
4347 DARK STAR LN, DALLAS, TX 75211-8110
(214) 783-7134
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
164313
TX
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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