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NPI Code Detail

MEDICARE: JUDYANA HERNANDEZ

MEDICARE:   JUDYANA  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
1101Y00000XCounselor

General Provider Information

NPI Number : 1568054799
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDYANA HERNANDEZ
Provider Business Mailing Address
First Line : 8685 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2839
Country : US
Telephone Number : 702-754-0807
Fax Number :
Provider Business Practice Location Address
First Line : 714 E SAHARA AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-2942
Country : US
Telephone Number : 702-369-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 12/15/2025

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Directions to “ JUDYANA HERNANDEZ ” Practice Location

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