Individual
KARELYS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 NW 165TH ST, MIAMI GARDENS, FL 33054-6223
(786) 567-1322
Mailing address
3910 NW 165TH ST, MIAMI GARDENS, FL 33054-6223
(786) 567-1322
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM0107119-P
FL
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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