LATICIA HERNANDEZ

PORT HURON, MI
NPI1790156859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: MI  H 655 488 785 108)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
-- LATICIA HERNANDEZ
3139 ELECTRIC AVE APT 3
PORT HURON, MI 48060-8103
Phone number: 810-990-9312
Mailing Address
-- LATICIA HERNANDEZ
3139 ELECTRIC AVE APT 3
PORT HURON, MI 48060-8103
Phone number: 810-990-9312