Individual
DOLORES VIESSA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8002 KEW GARDENS RD, 402, KEW GARDENS, NY 11415-3600
(715) 268-8500
Mailing address
83 HOLLY AVE, HEMPSTEAD, NY 11550-5209
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
182-106
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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