Individual
JENNIFFER HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1590 TROPIC PARK DR, SANFORD, FL 32773-6323
(407) 732-4605
Mailing address
12221 E COLONIAL DR APT 1416, ORLANDO, FL 32826-4765
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/24/2024
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