Individual
DONNA JEWEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14068 S FM 148, SCURRY, TX 75158-4393
(214) 607-7382
Mailing address
14068 S FM 148, SCURRY, TX 75158-4393
(214) 607-7382
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
161877
TX
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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