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Individual

MR. JOSE LISANDRO HERNANDEZ-PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 445-2410
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6419
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/01/2019
Last updated
10/28/2024
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