Individual
MRS. ROSA ALMA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9034
(520) 533-5148
Mailing address
4861 CORTE VIS, SIERRA VISTA, AZ 85635-5739
(520) 533-9034
(520) 533-5148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP021105
AZ
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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