Individual
MANUEL E HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM-P0104969
Contact information
Practice address
24252 SW 107TH AVE, HOMESTEAD, FL 33032-5176
(786) 806-6022
Mailing address
24252 SW 107TH AVE, HOMESTEAD, FL 33032-5176
(786) 806-6022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CBHCM-P0104969
FL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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