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Individual

CELESTINE Q HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1995 ERRECART BLVD STE 103, ELKO, NV 89801-8336
(775) 738-3111
(775) 778-6728
Mailing address
1995 ERRECART BLVD STE 103, ELKO, NV 89801-8336
(775) 738-3111
(775) 778-6728

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8882
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002004121
NV
01
8882
STATE LICENSE
NV
01
CS09275
STATE PHARMACY
NV
Enumeration date
12/26/2006
Last updated
03/07/2023
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