Destry Hernandez

NPI #1679813257 in Clovis, New Mexico

Provider Information

NPI Number: 1679813257
Entity Type: Individual
Name: Destry Hernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 19, 2013
Last Updated: Mar 17, 2018

Practice Location

Address: 1100 W 21ST ST
City: Clovis
State: New Mexico
ZIP Code: 88101-4151
Phone: (575) 769-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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