Individual
MARIA GLORIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 477-0935
(337) 528-2034
Mailing address
600 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 513-9966
(337) 528-2034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.206549
LA
208000000X
Pediatrics Physician
ME117937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948195
—
LA
Enumeration date
08/02/2010
Last updated
03/02/2020
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