Individual
KATHLEEN DAISY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 PAINTED MIRAGE RD STE 120, LAS VEGAS, NV 89149-4582
(702) 898-7633
Mailing address
6300 MCCARRAN ST UNIT 1030, N LAS VEGAS, NV 89081-8115
(361) 905-3882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1630
NV
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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