Individual
MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 INDIANA AVE, SLIDELL, LA 70458-5519
(985) 710-8236
Mailing address
152 INDIANA AVE, SLIDELL, LA 70458-5519
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
CPOA0285
LA
Other
Enumeration date
08/25/2014
Last updated
03/11/2026
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