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Individual

MR. ABEL HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2220 MARTIN LUTHER KING JR BLVD, ANACOSTIA, DC 20020
(203) 892-2545
Mailing address
5026 ROUNTOWER PLACE, COLUMBIA, MD 21044
(203) 892-2545

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
156FX1800X
Optician
Primary

Other

Enumeration date
11/04/2011
Last updated
04/25/2012
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