Individual
RUTH FABIOLA HERNANDEZ MONTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7610 CARROLL AVE STE 400, TAKOMA PARK, MD 20912-6321
(301) 891-6141
Mailing address
6317 61ST PL, RIVERDALE, MD 20737-1408
(301) 613-2860
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0010033
MD
Other
Enumeration date
04/20/2018
Last updated
07/22/2025
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