Individual
JACQUELINE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W 1ST ST, DUMAS, TX 79029-2405
(806) 934-6018
Mailing address
202 PINE AVE, DUMAS, TX 79029-3215
(806) 930-5348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155653
TX
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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