Individual
KATHERINE BLAIR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
16923 JOANNE DR, OMAHA, NE 68136-4146
(847) 804-7411
Mailing address
15010 WYCLIFFE DR APT 1, OMAHA, NE 68154-4304
(847) 804-7411
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
08/01/2025
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