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1770174393
IDALIS HERNANDEZ
ORLANDO, FL
NPI
1770174393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
IDALIS HERNANDEZ
10084 MADISON BANKS ST
ORLANDO, FL 32827-6940
Phone number: 585-465-8836
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Mailing Address
IDALIS HERNANDEZ
10084 MADISON BANKS ST
ORLANDO, FL 32827-6940
Phone number: 585-465-8836
Copy
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