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Individual

IDALIA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2110 DENNIS AVE, SILVER SPRING, MD 20902-4149
(240) 671-3131

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
MD

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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