Individual
JAZMIN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21457 93RD AVE, QUEENS VILLAGE, NY 11428-1103
(347) 869-9591
Mailing address
21457 93RD AVE, QUEENS VILLAGE, NY 11428-1103
(347) 869-9591
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
729513
NY
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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