MR. Omar D Hernandez Solano, IDMT

NPI #1881824159 in Mountain Home a F B, Idaho

Provider Information

NPI Number
1881824159
Entity Type
Individual
Name
MR. Omar D Hernandez Solano, IDMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jul 21, 2009
Last Updated
Jul 21, 2009

Practice Location

Address
90 HOPE DR BLDG 6000
Address 2
366 AMDS/SGPF
State
Idaho
ZIP Code
83648-1062
Phone
(208) 828-7401

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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