Individual
NADIA MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 121ST PL, PLEASANT PRAIRIE, WI 53158-4264
(608) 338-9468
Mailing address
3421 121ST PL, PLEASANT PRAIRIE, WI 53158-4264
(608) 338-9468
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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