Organization
RAFAELA G HERNANDEZ MD CHTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAELA GUTIERREZ HERNANDEZ (PRESIDENT)
(775) 337-8400
Entity
Organization
Contact information
Practice address
236 W 6TH ST, #303, RENO, NV 89503-4517
(775) 337-8400
(775) 337-8407
Mailing address
236 W 6TH ST, #303, RENO, NV 89503-4517
(775) 337-8400
(775) 337-8407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10759
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504022
—
NV
Enumeration date
02/26/2008
Last updated
05/06/2014
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