Individual
CARMEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
45136 W PARAISO LN, MARICOPA, AZ 85139-8764
(520) 664-6158
Mailing address
45136 W PARAISO LN, MARICOPA, AZ 85139-8764
(520) 664-6158
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
SLPA9430
AZ
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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