Individual
SALENA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
614 MONROE ST, BORGER, TX 79007-4630
(806) 273-9415
Mailing address
614 MONROE ST, BORGER, TX 79007-4630
(806) 273-9415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314508
TX
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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