Individual
DR. GUILLERMO HERNANDEZ JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4351 E LOHMAN AVE, STE. 202, LAS CRUCES, NM 88011-8259
(505) 522-8193
Mailing address
807 STONE CANYON DR, LAS CRUCES, NM 88011-0980
(505) 521-0109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-701-79
NM
Other
Enumeration date
09/16/2005
Last updated
07/08/2007
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