Provider Demographics
NPI:1386342442
Name:HERNANDEZ-LEON, ALONDRA E (DC)
Entity type:Individual
Prefix:DR
First Name:ALONDRA
Middle Name:E
Last Name:HERNANDEZ-LEON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 POWERS FERRY RD SE APT C
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5275
Mailing Address - Country:US
Mailing Address - Phone:787-298-1824
Mailing Address - Fax:
Practice Address - Street 1:650 HAMILTON AVE SE STE C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-3778
Practice Address - Country:US
Practice Address - Phone:404-888-0666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO10969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor