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Individual
JAIME D HERNANDEZ
Active
Individual
JAIME D HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A110306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH580Z
MEDICARE PTAN
CA
Enumeration date
05/12/2009
Last updated
03/15/2011
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