Individual
ADILENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
140 DOVER ST, SHELBYVILLE, TN 37160-2776
(931) 684-3426
Mailing address
505 HIGHLAND CT, SHELBYVILLE, TN 37160-4019
(708) 280-9333
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00158137
TN
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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