Individual
MIREY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSII
Contact information
Practice address
255A CARINO DEL PUEBLO, BERNALILLO, NM 87004
(505) 867-2356
(505) 867-2357
Mailing address
1101 LOPEZ RD. SW, ALBUQUERQUE, NM 87105
(505) 877-7060
(505) 877-7063
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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