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Individual

JUAN ANDRES HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
2715 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
(956) 627-2717
(956) 627-2720
Mailing address
2524 DATE PALM DR, RIO GRANDE CITY, TX 78582-6412
(956) 735-2027

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210255
TX

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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