MR. Jeff Hernandez

NPI #1033566922 in Cheyenne, Wyoming

Provider Information

NPI Number: 1033566922
Entity Type: Individual
Name: MR. Jeff Hernandez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: May 20, 2016
Last Updated: May 20, 2016

Practice Location

Address: 109 E 17TH ST
Address 2: SUITE 213
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4543
Phone: (307) 459-1712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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