Individual
DEYSI HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L
Contact information
Practice address
34 PADANARAM RD APT 218, DANBURY, CT 06811-4826
(845) 842-4680
Mailing address
34 PADANARAM RD APT 218, DANBURY, CT 06811-4826
(845) 842-4680
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44298
CT
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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