Individual
CRYSTAL STARR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6465 GRASS VALLEY RD, WINNEMUCCA, NV 89445-7258
(775) 623-8150
Mailing address
6465 GRASS VALLEY RD, WINNEMUCCA, NV 89445-7258
(775) 623-8150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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