Doctor Name: | MRS. VALERIA HERNANDEZ |
NPI Number: | 1366636672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 334108 |
Business Practice Address: | 25565 West Pleasant Lane Buckeye, AZ - 85326 |
Business Phone Number: | 6023917774 |
Business Fax Number: | |
Mailing Address: | 4201 North 16th Street Suite 110, PHOENIX |
State: | AZ |
Postal Code: | 85016 |
Phone Number: | 6022531620 |
Fax Number: | 6022531631 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 12/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 334108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |