Individual
MARIANNES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 S EDDY ST, GRAND ISLAND, NE 68801-7106
(308) 930-9436
Mailing address
1412 S EDDY ST, GRAND ISLAND, NE 68801-7106
(308) 930-9436
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/04/2026
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