Individual
KENNDRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 424-7711
Mailing address
12415 SW 14TH ST, YUKON, OK 73099-7072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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