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Rickie Hernandez
NPI 1215277504 · on the registry since 2013 · sole proprietor
Practice
- Address
- 48617 36th Ave
Bangor, MI 49013 - Phone
- (616) 403-9430
- Fax
- (269) 427-7009
- Organisation at this address
- Twin Doves I Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-22
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 Michigan