Individual
KASSANDRA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30200 TELEGRAPH RD STE 207, BINGHAM FARMS, MI 48025-5711
(248) 712-1129
(248) 792-3249
Mailing address
1431 WASHINGTON BLVD APT 1514, DETROIT, MI 48226-1724
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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