Individual
ROSIMAR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDT-BCT, LCAT, LPC
Contact information
Practice address
619 S MARION AVE # 117C, LAKE CITY, FL 32025-5808
(646) 753-2202
Mailing address
619 S MARION AVE., (117C), LAKE CITY, FL 32025-5808
(646) 753-2202
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
001221-1
NY
Other
Enumeration date
04/09/2020
Last updated
04/27/2021
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