Individual
MARIO ANDREW HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 274-4343
Mailing address
2769 S BIRCH ST, GILBERT, AZ 85295-2050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN169149
AZ
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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