Individual
ARIANNA SAMANTHA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W BLAIR AVE, WILBURTON, OK 74578-2009
(918) 465-2100
Mailing address
566 ERNEST COOK RD, MCALESTER, OK 74501-6544
(361) 480-2412
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
383
OK
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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