Most Relevant Information
Provider Data
| NPI Number: | 1003395195 |
| Provider Name: | GRETA CLAUDIA HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 2355A2700X |
| Specialty: | Specialist/Technologist |
| License Number: | SLPA11321 |
Most Important Dates
| Enumeration Date: | 08/09/2018 |
| Last Updated: | 08/09/2018 |
Provider Practice Location
343 NORTH CARLISLE AVENUE
SOMERTON
AZ
853505350
Practice Location Phone/Fax
| Phone: | 9283416000 |
| Fax: |
Provider Mailing Location
343 NORTH CARLISLE AVENUE
SOMERTON
AZ
853505350
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |