Individual
DR. FERNANDO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1016 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-5355
Mailing address
PO BOX 3623, MILAN, NM 87021-3623
(505) 240-0633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5176
NM
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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