Individual
GEORGE R HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5733 LILAC LN APT 207, VIRGINIA BEACH, VA 23464-6872
(760) 855-6614
Mailing address
5733 LILAC LN APT 207, VIRGINIA BEACH, VA 23464-6872
(760) 855-6614
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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