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Individual
KELLI LEILANI HERNANDEZ
Active
Individual
KELLI LEILANI HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
95022712
CA
Other
Enumeration date
01/28/2009
Last updated
12/09/2022
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