NPI Registry.org

Samantha Hernandez

NPI Registration Record

Provider / OrganizationNPIDate Certified
SAMANTHA HERNANDEZ18115146802020-06-28
Entity TypeIndividual
Provider Name Samantha Hernandez
Practice Office Address10550 W MCDOWELL RD
AVONDALE, AZ US
Practice Office Telephone4804427635
Mailing Address2622 S 102ND LN
TOLLESON, AZ 853535678 US
HPT Codes
CodeLicense NoState
101YM0800X PRIMARY18885 AZ
OPI Codes

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