Individual
MS. MARTHA HERNANDEZ-MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2729 PORTER AVE, EL PASO, TX 79930-3625
(915) 566-2111
Mailing address
605 HEMPSTEAD DR, EL PASO, TX 79912-7045
(719) 289-6808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2092166
TX
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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