Individual
CARLOS EDUARDO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
996 W 600 S, OREM, UT 84058-6087
(801) 427-4793
Mailing address
12760 S PARK AVE UNIT 520, RIVERTON, UT 84065-3422
(801) 210-1277
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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