Individual
DANIELA YAMILETH HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
554 ELWAYNE AVE, DALLAS, TX 75217-5150
(469) 471-2023
Mailing address
554 ELWAYNE AVE, DALLAS, TX 75217-5150
(469) 471-2023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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