Individual
ANN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
100 GATEWAY BLVD APT BF304, GREENVILLE, SC 29607-5865
(864) 320-0595
Mailing address
100 GATEWAY BLVD APT BF304, GREENVILLE, SC 29607-5865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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