Individual
MICHAEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 GOOD HOPE RD SE, WASHINGTON, DC 20020-3011
(202) 866-7505
Mailing address
PO BOX 429, OXON HILL, MD 20750-0429
(202) 903-4656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/07/2024
Last updated
03/06/2024
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