Individual
JOSE HERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7205 VISTA DR STE 104, WEST DES MOINES, IA 50266-9360
(515) 225-9200
Mailing address
7205 VISTA DR STE 104, WEST DES MOINES, IA 50266-9360
(515) 225-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
094302
IA
Other
Enumeration date
12/03/2018
Last updated
06/06/2019
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