Individual
MR. RICARDO HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3462 E CHARLESTON AVE, PHOENIX, AZ 85032-1219
(602) 810-1666
Mailing address
3462 E CHARLESTON AVE, PHOENIX, AZ 85032-1219
(602) 810-1666
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
25444944
AZ
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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