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NPI Code Detail

MEDICARE: ARLENE HERNANDEZ

MEDICARE: ARLENE HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1356885842
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE HERNANDEZ
Provider Business Mailing Address
First Line : 1091 S CIMARRON RD STE A6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-2445
Country : US
Telephone Number : 787-399-7242
Fax Number :
Provider Business Practice Location Address
First Line : 1091 S CIMARRON RD STE A6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-2445
Country : US
Telephone Number : 787-399-7242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 05/10/2017

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Directions to “ ARLENE HERNANDEZ ” Practice Location

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