Individual
MRS. CHARLOTTE DIANE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
902 SHADY LN, SEAGOVILLE, TX 75159-1797
(972) 749-6805
(972) 749-6801
Mailing address
902 SHADY LN, SEAGOVILLE, TX 75159-1797
(972) 749-6805
(972) 749-6801
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
676402
TX
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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