Individual
DOREEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 SANTA FE, VICTORIA, TX 77904-3001
(361) 655-1288
(361) 570-7909
Mailing address
604 SANTA FE, VICTORIA, TX 77904-3001
(361) 655-1288
(361) 570-7909
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
182212
TX
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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