Individual
KAREN CRYSTAL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 DEWITT RD, HOLBROOK, AZ 86025-3249
(928) 241-1539
Mailing address
1710 DEWITT RD, HOLBROOK, AZ 86025-3249
(928) 241-1539
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10100
AZ
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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