Individual
JESSICA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4232 LOMA TAURINA DR, EL PASO, TX 79934-3704
(360) 471-5011
Mailing address
4232 LOMA TAURINA DR, EL PASO, TX 79934-3704
(360) 471-5011
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353740
TX
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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