Individual
SHAWN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11388 W MOUNTAIN VIEW DR, AVONDALE, AZ 85323-1126
(928) 254-9885
Mailing address
11388 W MOUNTAIN VIEW DR, AVONDALE, AZ 85323-1126
(928) 254-9885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-20624
AZ
Other
Enumeration date
07/29/2017
Last updated
07/21/2022
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