Individual
SALVADOR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
904 S 10TH ST STE A, SAINT JOSEPH, MO 64503-2400
(816) 233-4188
Mailing address
861 BRISTOL WAY, LIBERTY, MO 64068-3007
(816) 785-9587
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363L00000X
Nurse Practitioner
Primary
2025009025
MO
Other
Enumeration date
11/23/2020
Last updated
01/28/2026
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