Individual
LETISIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
(708) 479-2112
Mailing address
15735 VINCENNES RD, HARVEY, IL 60426-3745
(708) 953-4596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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