Individual
JEANNETTE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 4TH ST, RACINE, WI 53403
(414) 550-8094
Mailing address
212 4TH ST, RACINE, WI 53403-1005
(414) 550-8094
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WI
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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