Individual
RAELYNN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W 13TH ST, PUEBLO, CO 81003-3754
(719) 696-9027
Mailing address
212 W 13TH ST, PUEBLO, CO 81003-3754
(719) 696-9027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337495
TX
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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