Individual
JUDY ANN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 S MAIN ST, LINDALE, TX 75771-6440
(903) 882-3158
Mailing address
16015 STATE HIGHWAY 155 S, TYLER, TX 75703-7142
(903) 746-3620
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
128907
TX
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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