Individual
MARISOL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5040 CANYON WREN LN, COLORADO SPRINGS, CO 80916-1469
(210) 371-1763
Mailing address
5040 CANYON WREN LN, COLORADO SPRINGS, CO 80916-1469
(210) 371-1763
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86174388
CO
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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