Individual
CHRIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2220 S FRASER ST UNIT 3, AURORA, CO 80014-4508
(303) 210-2466
Mailing address
2072 OAKCREST CIR UNIT 1E, CASTLE ROCK, CO 80104-5313
(720) 979-1546
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
0012717
CO
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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