Individual
SANDRA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2450
Mailing address
3032 S FAIRWAY DR, TEMPE, AZ 85282-4027
(310) 507-4913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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