Individual
CRISTINA MICHELLE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2521 CAPER LN APT 101, MAITLAND, FL 32751-6013
(407) 421-7266
Mailing address
2521 CAPER LN APT 101, MAITLAND, FL 32751-6013
(407) 421-7266
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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