Individual
MICHAEL ESTEBAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3560 E FLAMINGO RD STE 100, LAS VEGAS, NV 89121-5088
(702) 433-6944
Mailing address
185 E 100 S, BURLEY, ID 83318-5443
(208) 219-3367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2439
NV
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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