Giovanni Hernandez Jr.
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1295372829
StatusActive
Last updated in NPPESDec 2, 2019
Details
- NPI
- 1295372829
- Entity type
- Individual (NPI-1)
- Name
- Mr. Giovanni Hernandez Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2019
- Last updated
- Dec 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | NV | Yes |
Other names
- Giovanni Hernandez (Former Name)
Practice location
1930 JoyfulSt
Las Vegas, NV 89115-7352
Phone 702-524-5235
Mailing address
1930 JoyfulSt
Las Vegas, NV 89115-7352
Phone 702-524-5235
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