Individual
ISAIAH ANGELO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
BS
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 248-9368
Mailing address
14117 N ROCKWELL AVE APT 11204, OKLAHOMA CITY, OK 73142-8000
(580) 647-3406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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