Individual
ANGELA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
372138 E 1030 RD, OKEMAH, OK 74859-5940
(405) 479-3421
(405) 479-3421
Mailing address
420 NE 21ST ST, NEWCASTLE, OK 73065-6129
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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