Individual
KATHLEEN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
16401 NW 37TH AVE, MIAMI GARDENS, FL 33054-6313
(305) 628-6520
Mailing address
301 E 46TH ST, HIALEAH, FL 33013-1837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5431
FL
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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