Individual
MS. RAISA E HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9820 NW 80TH AVE # BAY6-D, HIALEAH GARDENS, FL 33016-2330
(786) 621-4526
(786) 621-4527
Mailing address
9820 NW 80TH AVE # BAY6-D, HIALEAH GARDENS, FL 33016-2330
(786) 621-4526
(786) 621-4527
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
4923310001
FL
Other
Enumeration date
05/23/2007
Last updated
07/12/2007
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