Individual
MR. JEFF HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 E 17TH ST, SUITE 213, CHEYENNE, WY 82001-4543
(307) 459-1712
Mailing address
109 E 17TH ST, SUITE 213, CHEYENNE, WY 82001-4543
(307) 459-1712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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