Individual
ELI EMMANUEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6304 WOODSIDE CT STE 110, COLUMBIA, MD 21046-3217
(301) 356-0762
Mailing address
5817 84TH AVE, NEW CARROLLTON, MD 20784-2921
(301) 356-0762
(301) 356-0762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06293
MD
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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