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Individual

TONYA MICHELLE HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 FERRIS AVE, WAXAHACHIE, TX 75165-2557
(972) 923-2083
(972) 923-2084
Mailing address
PO BOX 392, MAYPEARL, TX 76064-0392
(972) 435-2312

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
130739
TX

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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