Individual
PAUL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MANAGER
Contact information
Practice address
685 W ROLLER COASTER RD, TUCSON, AZ 85704-3817
(520) 293-3404
(520) 989-9885
Mailing address
685 W ROLLER COASTER RD, TUCSON, AZ 85704-3817
(520) 293-3404
(520) 989-9885
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL0128H
AZ
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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