SEVERIANO HERNANDEZ

DALLAS, OR
NPI1700547585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-01-04
Last Update Date2022-01-04
Business Address
SEVERIANO HERNANDEZ
16140 ELLENDALE RD
DALLAS, OR 97338-9667
Phone number: 503-623-3310
Mailing Address
SEVERIANO HERNANDEZ
16140 ELLENDALE RD
DALLAS, OR 97338-9667
Phone number: 503-623-3310
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