Individual
MILAGRO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 LOS LENTES RD SE STE 3, LOS LUNAS, NM 87031-6018
(505) 216-2727
Mailing address
PO BOX 28164, SANTA FE, NM 87592-8164
(505) 216-2727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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