Kristina Marie Hernandez, DT

NPI #1053798181 in Oak Park, Illinois

Provider Information

NPI Number: 1053798181
Entity Type: Individual
Name: Kristina Marie Hernandez, DT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: DT
Enumeration Date: Apr 27, 2015
Last Updated: Apr 27, 2015

Practice Location

Address: 310 LAKE ST
Address 2: APT 2NE
City: Oak Park
State: Illinois
ZIP Code: 60302-2641
Phone: (262) 989-6591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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