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Individual

MR. ALBERT HERNANDEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
5690 SANTA TERESITA DR STE A2, SANTA TERESA, NM 88008-9211
(575) 332-4115
Mailing address
5690 SANTA TERESITA DR STE A2, SANTA TERESA, NM 88008-9211
(800) 675-6030

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
54917
NM

Other

Enumeration date
01/07/2019
Last updated
08/17/2021
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