Individual
NORMA P HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 HULEN ST, FORT WORTH, TX 76107-6812
(817) 707-5291
Mailing address
3632 E 4TH ST, FORT WORTH, TX 76111-5805
(817) 658-2456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT120997
TX
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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