GEORGE R HERNANDEZ

VIRGINIA BEACH, VA
NPI1336366863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
-- GEORGE R HERNANDEZ IDC
5733 LILAC LN APT 207
VIRGINIA BEACH, VA 23464-6872
Phone number: 760-855-6614
Mailing Address
-- GEORGE R HERNANDEZ IDC
5733 LILAC LN APT 207
VIRGINIA BEACH, VA 23464-6872
Phone number: 760-855-6614