Individual
BLANCA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 11TH ST, 1, LOVELOCK, NV 89419
(775) 442-1089
Mailing address
PO BOX 1085, LOVELOCK, NV 89419-1085
(775) 442-1089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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