Individual
MRS. WANDA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7831 RUNNYMEDE DR, JONESBORO, GA 30236-2751
(678) 596-6716
(770) 960-9664
Mailing address
7831 RUNNYMEDE DR, JONESBORO, GA 30236-2751
(678) 596-6716
(770) 960-9664
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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