Individual
DIEGO ISAIAS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3232 GEORGIA AVE NW APT 215, WASHINGTON, DC 20010-3085
(202) 413-1505
Mailing address
3232 GEORGIA AVE NW APT 215, WASHINGTON, DC 20010-3085
(202) 869-6256
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
4083890
DC
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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