Individual
CAMILLE KATHLEEN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 HEARTHSTONE DR, SAN MARCOS, TX 78666-2278
(512) 629-0373
Mailing address
2014 HEARTHSTONE DR, SAN MARCOS, TX 78666-2278
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
64057
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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