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Individual

MARIA SALVADORA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
605 HUGHES AVE, FAIRBANKS, AK 99701-7539
(907) 452-1648
(907) 459-4849
Mailing address
605 HUGHES AVE, FAIRBANKS, AK 99701-7539
(907) 452-1648
(907) 456-4849

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH3237
AK
Enumeration date
03/21/2012
Last updated
05/13/2025
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