Individual
MARIANE CHARLINE HERNANDEZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, CLC
Contact information
Practice address
J42 CALLE J, CAROLINA, PR 00987-7135
(787) 678-0207
Mailing address
PO BOX 9299, CAROLINA, PR 00988-9299
(787) 678-0207
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99295
TX
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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