George R Hernandez IDC

NPI 1336366863 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1336366863
Gender Male
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5733 LILAC LN APT 207
VIRGINIA BEACH VA, 23464-6872, US
Phone (760) 855-6614
Fax
Business Location
5733 LILAC LN APT 207
VIRGINIA BEACH VA, 23464-6872, US
Phone (760) 855-6614
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, George R Hernandez IDC NPI is 1336366863, taxonomy code is 1710I1002X George R Hernandez IDC physically located at 5733 Lilac Ln Apt 207, Virginia Beach VA, 23464-6872. NPI Number George R Hernandez IDC has the Individual type.

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1336366863 NPI number is provided on an as is basis without warranty of any kind. 1336366863 is maintained by the National Plan & Provider Enumeration System. The contents of George R Hernandez IDC are for informational purposes only.