Individual
DANIELLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 277-9866
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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