Individual
OBED HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8080 CLINTON TINNIN RD, CLINTON, MS 39056-9461
(769) 257-2706
Mailing address
8080 CLINTON TINNIN RD, CLINTON, MS 39056-9461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906368
MS
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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