Individual
LAURA E HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD, LD
Contact information
Practice address
7100 AMINDA DR, SHAWNEE, KS 66227-2116
(913) 708-5241
Mailing address
7100 AMINDA DR, SHAWNEE, KS 66227-2116
(913) 708-5241
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1845
KS
Other
Enumeration date
07/10/2013
Last updated
09/03/2013
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