Individual
JESUS ALEJANDRO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615A GALE ST, LAREDO, TX 78041-5955
(956) 712-9988
Mailing address
615A GALE ST, LAREDO, TX 78041-5955
(956) 712-9988
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330739
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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