Individual
CITLALI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(314) 479-2273
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
02/08/2024
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