Individual
DOREEN L. HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9000 W. WISCONSIN AVE., MILW., WI 53201
(414) 266-2000
Mailing address
2627 E HOLMES AVE, CUDAHY, WI 53110-1318
(414) 266-2000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30993031
WI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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