Individual
MICHAEL A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 CUMBERLAND AVE, WEST LAFAYETTE, IN 47906-1310
(219) 200-0485
Mailing address
1305 CUMBERLAND AVE, WEST LAFAYETTE, IN 47906-1310
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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