Provider Information for 1245539527
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ASHLEY K HERNANDEZ LCDC
Sex: Female
NPI: 1245539527
Last Updated: 2011-10-03
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1245539527 | ||||||||||||
Enumeration Date | 2011-03-25 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 3031 W IH 10 SAN ANTONIO, TX 78201-5159 United States Phone: 210-731-1300 | Fax:210-731-8678 | ||||||||||||
Primary Practice Address | 3031 W IH 10 SAN ANTONIO, TX 78201-5159 United States Phone: 210-731-1300 | Fax:210-731-8678 | ||||||||||||
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