Basic Information
| Provider Information | |||||||||
| NPI: | 1336448752 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HERNANDEZ | ||||||||
| FirstName: | SONIA | ||||||||
| MiddleName: | MARICRUZ | ||||||||
| NamePrefix: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | LOERA | ||||||||
| OtherFirstName: | SONIA | ||||||||
| OtherMiddleName: | MARIACRUZ | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1399 W 34TH AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995033659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077208011 | ||||||||
| FaxNumber: | 9079295858 | ||||||||
| Practice Location | |||||||||
| Address1: | 1399 W 34TH AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995033659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077208011 | ||||||||
| FaxNumber: | 9079295858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2011 | ||||||||
| LastUpdateDate: | 03/24/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 372500000X | N | Nursing Service Related Providers | Chore Provider | 372600000X | N | Nursing Service Related Providers | Adult Companion | 3747P1801X | Y | Nursing Service Related Providers | Technician | Personal Care Attendant |
No ID Information.