Individual
JUANITA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6969 PASTOR BAILEY DR, SUITE 140, DALLAS, TX 75237-2636
(972) 298-3366
(214) 920-8494
Mailing address
6969 PASTOR BAILEY DR, SUITE 140, DALLAS, TX 75237-2636
(972) 298-3366
(214) 920-8494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
04117
TX
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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