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Individual

LUISA M HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1401 10TH ST STE 1, ALAMOGORDO, NM 88310-5012
(505) 439-1397
(505) 434-8820
Mailing address
420 COTTONWOOD DR, ALAMOGORDO, NM 88310-8293
(505) 439-6742
(505) 434-8820

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0544
NM

Other

Enumeration date
08/13/2006
Last updated
07/08/2007
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