Individual
ERIC HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT STUDENT
Contact information
Practice address
174 BLUE HERON DR, SECAUCUS, NJ 07094-2938
(551) 556-9433
Mailing address
174 BLUE HERON DR, SECAUCUS, NJ 07094-2938
(551) 556-9433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2021
Last updated
01/25/2023
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