Individual
EILEEN MICHELLE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
1875 WOODWINDS DR, SUITE 100, WOODBURY, MN 55125-2298
(651) 232-6380
Mailing address
2501 W 84TH ST, BLOOMINGTON, MN 55431-1602
(952) 888-4777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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