Individual
MALAYAH SHANTEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4234 SALADO CRST, SAN ANTONIO, TX 78222-3350
(650) 878-7011
Mailing address
4234 SALADO CRST, SAN ANTONIO, TX 78222-3350
(650) 878-7011
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352273
TX
Other
Enumeration date
07/16/2019
Last updated
02/03/2020
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