Crystal Ruby Hernandez

NPI #1386124337 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1386124337
Entity Type: Individual
Name: Crystal Ruby Hernandez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 20, 2018
Last Updated: Aug 20, 2018

Practice Location

Address: 4851 INDEPENDENCE ST
City: Wheat Ridge
State: Colorado
ZIP Code: 80033-6715
Phone: (303) 425-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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