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Organization

GUILLERMO HERNANDEZ, JR. DO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GUILLERMO HERNANDEZ JR. DI (DOCTOR)
(505) 522-8193
Entity
Organization

Contact information

Practice address
4351 E. LOHMAN AVE., STE 202, LAS CRUCES, NM 88011-8260
(505) 522-8193
(505) 522-8323
Mailing address
4351 E. LOHMAN AVE., STE 202, LAS CRUCES, NM 88011-8260
(505) 522-8193
(505) 522-8323

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-701-79
NM

Other

Enumeration date
06/01/2007
Last updated
08/22/2020
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