Individual
DELIA NAYELI HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
844 E 100 S STE 301, SALT LAKE CITY, UT 84102-4109
(000) 000-0000
Mailing address
844 E 100 S STE 301, SALT LAKE CITY, UT 84102-4109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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