Individual
JOSE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N CLARK DR, EL PASO, TX 79905-2127
(915) 346-5479
Mailing address
900 N CLARK DR, EL PASO, TX 79905-2127
(915) 346-5479
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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