Individual
JENNY LUCERO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2497 W 500 S, SPRINGVILLE, UT 84663-5780
(385) 477-8602
Mailing address
1875 S GENEVA RD, OREM, UT 84058-2217
(801) 437-0490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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