Individual
CRYSTAL G HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
(719) 545-4100
Mailing address
2003 E 4TH ST, PUEBLO, CO 81001-4150
(719) 544-6373
(719) 545-5405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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