Individual
LUIS ARIEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 FAIRVIEW RD # 1259, CHARLOTTE, NC 28210-2224
(704) 837-6440
Mailing address
4301 LUDI MAE CT, CHARLOTTE, NC 28227-6638
(704) 837-6440
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
02/24/2020
Last updated
07/21/2020
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