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Individual
MAYRA MARLEN HERNANDEZ
Active
Individual
MAYRA MARLEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 566430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 14783
BOARD OF REGISTERED NURIS
CA
01
—
RN 566430
BORAD OF REGISTERED NURSI
CA
Enumeration date
07/26/2007
Last updated
07/26/2007
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