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1104461961
FIDEL HERNANDEZ
VANCOUVER, WA
NPI
1104461961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61085876)
Enumeration Date
2019-11-15
Last Update Date
2021-09-13
Business Address
FIDEL HERNANDEZ ARNP
2805 NE 129TH ST
VANCOUVER, WA 98686-3324
Phone number: 360-356-1890
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Mailing Address
FIDEL HERNANDEZ ARNP
2805 NE 129TH ST
VANCOUVER, WA 98686-3324
Phone number: 360-869-0111
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