Individual
LIZBETH M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 E PALM LN STE 205, PHOENIX, AZ 85004-1555
(602) 566-2121
Mailing address
8924 S 47TH AVE, LAVEEN, AZ 85339-3020
(602) 566-2121
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
2255A2300X
Athletic Trainer
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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