Individual
GLORIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3507 JAIME ZAPATA MEMORIAL HWY, SUITE 7A, LAREDO, TX 78043-4769
(956) 753-5600
(956) 753-5602
Mailing address
3507 JAIME ZAPATA MEMORIAL HWY, SUITE 7A, LAREDO, TX 78043-4769
(956) 753-5600
(956) 753-5602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213791
STATE LICENSE
TX
Enumeration date
03/22/2016
Last updated
03/22/2016
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