Individual
KATHERINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10309 NW 11TH ST, PEMBROKE PINES, FL 33026-3901
(954) 649-6089
Mailing address
10309 NW 11TH ST, PEMBROKE PINES, FL 33026-3901
(954) 649-6089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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