Individual
CITLALY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2210 HEMBY LN, GREENVILLE, NC 27834-3789
(252) 551-3000
Mailing address
208 S ERVIN AVE, NEWTON, NC 28658-2438
(828) 303-7591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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