Individual
TAINA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 HAROLD WAY SW, CONYERS, GA 30094-3956
(678) 876-6308
Mailing address
3120 HAROLD WAY SW, CONYERS, GA 30094-3956
(678) 876-6308
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
3-202016
GA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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