Individual
BEATRIZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 112TH ST, LUBBOCK, TX 79423-6759
(860) 617-9562
Mailing address
3101 112TH ST, LUBBOCK, TX 79423-6759
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-1054026
NANAS HOME HEALTH CARE
TX
Enumeration date
05/08/2022
Last updated
05/08/2022
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