Individual
JESEY HERNANDEZ LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
179 W 9TH ST APT 1A, HIALEAH, FL 33010-4001
(813) 403-1715
Mailing address
179 W 9TH ST APT 1A, HIALEAH, FL 33010-4001
(813) 403-1715
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-758
WI
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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