Individual
KAREN YVETTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-4030
(928) 773-4035
Mailing address
6628 E VAIL DR, FLAGSTAFF, AZ 86004-7134
(808) 753-3178
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043293
AZ
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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