Organization
LA CLINICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA E HERNANDEZ NP (NURSE PRACTITIONER)
(678) 869-5000
Entity
Organization
Contact information
Practice address
10479 ALPHARETTA ST STE 18, ROSWELL, GA 30075-3764
(678) 869-5000
(678) 869-5014
Mailing address
10479 ALPHARETTA ST STE 18, ROSWELL, GA 30075-3764
(678) 869-5000
(678) 869-5014
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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