Individual
MS. DIANE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
123 N 13TH ST, PHOENIX, AZ 85034-1111
(602) 257-3898
(602) 257-2954
Mailing address
123 N 13TH ST, PHOENIX, AZ 85034-1111
(602) 257-3898
(602) 257-2954
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN067896
AZ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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