Individual
LUIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-4310
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-4310
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
07/22/2015
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