Individual
LETICIA ARIEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8610 N NEW BRAUNFELS AVE STE 405, SAN ANTONIO, TX 78217-6358
(210) 804-0193
Mailing address
1514 VISTA DEL MONTE, SAN ANTONIO, TX 78216-2209
(210) 421-4204
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
790360
TX
163WP0200X
Pediatric Registered Nurse
Primary
790360
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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