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Cristina Elizabet Hermosillo, PA-C
Medical Physician Assistant in Kokomo, Indiana
NPI 1104607738

Cristina Elizabet Hermosillo is a Medical Physician Assistant based in Indianapolis, IN and is specialized in Medical. Cristina Elizabet Hermosillo practices in Kokomo, IN and has the professional credentials of PA-C. The NPI Number for Cristina Elizabet Hermosillo is 1104607738 and holds a License No. 10004249A (Indiana).

The current practice location address for Cristina Elizabet Hermosillo is 3118 S Lafountain St, Kokomo, IN and can be reached out via phone at 765-864-4160 and via fax at 765-400-4467.

Location: 3118 S Lafountain St, Kokomo, IN, 46250-1946
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Provider Profile Details
NPI Number
1104607738
Provider Name
Cristina Elizabet Hermosillo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3118 S Lafountain St, Kokomo, IN, 46250-1946
Phone Number
765-864-4160
Fax Number
765-400-4467
Provider Enumeration Date
10/10/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300085790 05 IN
institution
Provider Business Practice Location Address Details
Address
3118 S Lafountain St
City
State
Zip
46902-3710
Phone Number
765-864-4160
Fax Number
765-400-4467
person
Provider Business Mailing Address Details
Address
3118 S Lafountain St
City
State
Zip
46902-3710
Phone Number
765-864-4160
Fax Number
765-400-4467
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10004249A (Indiana)
Definition
Definition to come...
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