Individual
MELISSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 MORPHY ST, GREAT BEND, KS 67530-2415
(620) 639-0312
Mailing address
1719 MORPHY ST, GREAT BEND, KS 67530-2415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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