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Individual

LUIS E HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6621 BLOOMINGTON AVE S, RICHFIELD, MN 55423
(612) 275-3958
Mailing address
6621 BLOOMINGTON AVE S, RICHFIELD, MN 55423
(612) 275-3958

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
02/10/2011
Last updated
02/10/2011
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