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1407615057
RICHARD HERNANDEZ
COLUMBIA, SC
NPI
1407615057
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Other Name
RICH HERNANDEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 29272)
Enumeration Date
2024-03-18
Last Update Date
2024-08-27
Business Address
Mr. RICHARD HERNANDEZ NP
5143 FOREST DR
COLUMBIA, SC 29206-4918
Phone number: 803-314-9120
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Mailing Address
Mr. RICHARD HERNANDEZ NP
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-314-9120
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