Ruyman D Hernandez Sole Mbr | |
1633 Sw Kelly Ave Chehalis WA 98532-3822 | |
(360) 524-1469 | |
Not Available |
Full Name | Ruyman D Hernandez Sole Mbr |
---|---|
Speciality | Counselor - Mental Health |
Location | 1633 Sw Kelly Ave, Chehalis, Washington |
Authorized Official Name and Position | Ruyman D Hernandez (OWNER) |
Authorized Official Contact | 3605241469 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ruyman D Hernandez Sole Mbr Po Box 903 Chehalis WA 98532-0903 Ph: (360) 524-1469 | Ruyman D Hernandez Sole Mbr 1633 Sw Kelly Ave Chehalis WA 98532-3822 Ph: (360) 524-1469 |
NPI Number | 1629759451 |
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Provider Enumeration Date | 07/25/2023 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629759451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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