Individual
MARIBEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7423 W WOOD ST, PHOENIX, AZ 85043-2052
(503) 868-8239
Mailing address
7423 W WOOD ST, PHOENIX, AZ 85043-2052
(503) 868-8239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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