Individual
ALINA MICHELE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S MOONSHADOW DR, BENSON, AZ 85602-7527
(928) 246-0774
Mailing address
1700 S MOONSHADOW DR, BENSON, AZ 85602-7527
(928) 246-0774
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T006742
AZ
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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