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Individual

MISS MARIA CONCEPCION HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
10313 RIDGEWOOD DR, EL PASO, TX 79925-6919
(915) 422-8667
Mailing address
10313 RIDGEWOOD DR # A, EL PASO, TX 79925-6919
(915) 422-8667

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
216732
TX

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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