Individual
MR. MATTHEW JOHN HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
COMDT(CG-1122) U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(202) 267-0801
(202) 267-4685
Mailing address
COMDT(CG-1122) U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(202) 267-0801
(202) 267-4685
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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