Individual
MRS. RAQUEL HERNANDEZ/OLIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M
Contact information
Practice address
3403 S 12TH ST, MILWAUKEE, WI 53215-5007
(414) 551-8180
Mailing address
3403 S 12TH ST, MILWAUKEE, WI 53215-5007
(414) 551-8180
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
200 -228
WI
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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