Individual
LISSETTE C. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 NW 59TH ST, MIAMI, FL 33127-1218
(305) 759-8888
(305) 757-5989
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 252-4820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9396800
FL
164W00000X
Licensed Practical Nurse
PN5200908
FL
Other
Enumeration date
02/10/2012
Last updated
11/17/2018
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