Individual
DR. FAYNESSA JUSTINE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1691 GALISTEO ST STE D, SANTA FE, NM 87505-4781
(505) 955-9454
(505) 982-0279
Mailing address
PO BOX 6880, SANTA FE, NM 87502-6880
(505) 216-0332
(505) 982-0279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2019-0855
NM
Other
Enumeration date
04/27/2016
Last updated
05/08/2025
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