MICHAEL HERNANDEZ

PEORIA, AZ
NPI1851523906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: AZ  1850207)
Enumeration Date2009-08-21
Last Update Date2009-08-21
Business Address
-- MICHAEL HERNANDEZ
9680 W NORTHERN AVE UNIT 1107
PEORIA, AZ 85345-4641
Phone number: 602-309-6205
Mailing Address
-- MICHAEL HERNANDEZ
9680 W NORTHERN AVE UNIT 1107
PEORIA, AZ 85345-4641
Phone number:
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