Individual
YADIRA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 W EMERALD ST STE 150, BOISE, ID 83704-9057
(208) 908-6399
(186) 627-5988
Mailing address
8100 W EMERALD ST STE 150, BOISE, ID 83704-9057
(208) 908-6399
(186) 627-5988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-36152
ID
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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