Individual
ELIZABETH HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SHAMROCK LN, NORWALK, CT 06850-3108
(203) 354-3968
Mailing address
17 SHAMROCK LN, NORWALK, CT 06850-3108
(203) 354-3968
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290749
NY
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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