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Individual

SUSAN M HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3602 EVERETT AVE, EVERETT, WA 98201-3818
(425) 659-2472
Mailing address
3602 EVERETT AVE, EVERETT, WA 98201-3818
(425) 659-2472

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.OT.61462264
WA

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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