Enrique Ricky Hernandez
Community Health Worker in Greeley, CO. Individual provider (NPI-1).
NPI number1982243242
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1982243242
- Entity type
- Individual (NPI-1)
- Name
- Enrique Ricky Hernandez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2020
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1300 N 17th AveGreeley, CO 80631-9584
Phone 970-347-2120
Mailing address
1300 N 17th AveGreeley, CO 80631-9584
Phone 970-347-2120
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