Individual
SEVERINA IRENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5018 194TH ST SW, LYNNWOOD, WA 98036-5449
(206) 383-0994
Mailing address
5018 194TH ST SW, LYNNWOOD, WA 98036-5449
(206) 383-0994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60705431
WA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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