Individual
ARIEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
BLDG 301, ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7636
(334) 255-7368
Mailing address
BLDG 301, ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7636
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
I0707906
KY
146N00000X
Basic Emergency Medical Technician
Primary
E1370968
TX
Other
Enumeration date
03/06/2014
Last updated
02/10/2016
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