Individual
ALYSSA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 W KRISTAL WAY, PHOENIX, AZ 85027-4911
(480) 275-9245
Mailing address
2920 W KRISTAL WAY, PHOENIX, AZ 85027-4911
(480) 275-9245
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/25/2023
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