Individual
NADIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4078 PRAIRIE BEND LN, LAKELAND, FL 33812-4184
(917) 407-0593
Mailing address
4078 PRAIRIE BEND LN, LAKELAND, FL 33812-4184
(917) 407-0593
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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