Individual
DIANE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 JANBROOK BLVD, CARTER LAKE, IA 51510-1307
(402) 812-8044
Mailing address
1210 JANBROOK BLVD, CARTER LAKE, IA 51510-1307
(402) 812-8044
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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