SearchArizona2355S0801X

Ilse Hernandez-Allen, DOM

NPI 1134185960 · on the registry since 2006

Practice

Address
5154 W Sunnyside Dr
Glendale, AZ 85304
Phone
(505) 573-1288

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Also registered as
171100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona