Individual
DR. ILSE P HERNANDEZ-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
5154 W SUNNYSIDE DR, GLENDALE, AZ 85304-1986
(505) 573-1288
Mailing address
5154 W SUNNYSIDE DR, GLENDALE, AZ 85304-1986
(505) 573-1288
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
LAC011980
AZ
2355S0801X
Speech-Language Assistant
Primary
SLPA11872
AZ
Other
Enumeration date
04/21/2006
Last updated
05/24/2024
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