Leesa Ellen Hernandez, PAC

NPI #1962570879 in Montgomery Village, Maryland

Provider Information

NPI Number: 1962570879
Entity Type: Individual
Name: Leesa Ellen Hernandez, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: PAC
Enumeration Date: Nov 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 19201 MONTGOMERY VILLAGE AVE
Address 2: SUITE A12
City: Montgomery Village
State: Maryland
ZIP Code: 20886
Phone: (301) 670-0070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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