Individual
JESSICA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2121
(702) 821-6494
(702) 823-1313
Mailing address
2619 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2121
(702) 821-6494
(702) 823-1313
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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