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NPI Code Detail

MEDICARE: VALERIE HERNANDEZ

MEDICARE: VALERIE 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
1372500000XChore Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1477052140
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE HERNANDEZ
Provider Business Mailing Address
First Line : 1511 TREE TOP CT
Second Line :
City : HENDERSON
State : NV
Zip : 89014-0354
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 S JONES BLVD STE K
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3165
Country : US
Telephone Number : 702-405-3192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2018
Last Update Date : 02/07/2018

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Directions to “ VALERIE HERNANDEZ ” Practice Location

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