Individual
ANDREA MARIA HERNANDEZ
Active
Individual
ANDREA MARIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS/L
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
168
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
01
—
61269
NCTRC
—
Enumeration date
07/29/2019
Last updated
07/29/2019
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