ALFONSO JR HERNANDEZ

BLACKFOOT, ID
NPI1720502917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1530)
Enumeration Date2017-07-28
Last Update Date2018-02-22
Business Address
Mr. ALFONSO JR HERNANDEZ PA-C
466 HORROCKS DR
BLACKFOOT, ID 83221-3452
Phone number: 307-399-5925
Mailing Address
Mr. ALFONSO JR HERNANDEZ PA-C
466 HORROCKS DR
BLACKFOOT, ID 83221-3452
Phone number:
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