Individual
JOHNALYN BUENVENIDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
104 HORSE WHISPERER LN, LILLINGTON, NC 27546-9727
(910) 584-4954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13708
NC
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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