Individual
IRIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CHERI WHITLOCK DR, SILOAM SPRINGS, AR 72761-9100
(479) 967-2322
Mailing address
920 UNIVERSITY DR, RUSSELLVILLE, AR 72801-4303
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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