Individual
KIMBERLEY ANN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 US HIGHWAY 9, LANOKA HARBOR, NJ 08734-2213
(609) 242-2661
Mailing address
1021 BEACH LN, MANAHAWKIN, NJ 08050-2009
(609) 709-7987
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00240700
NJ
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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