Individual
MR. PAUL MATTHEW HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5845
(228) 523-4508
Mailing address
119 NEEDLERUSH PL, OCEAN SPRINGS, MS 39564-5306
(601) 927-8433
(228) 523-4508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0558
MS
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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