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Individual
EDWARD FIDEL HERNANDEZ
Active
Individual
EDWARD FIDEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
387107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387107
REGISTERED NURSE LICENSE
CA
Enumeration date
12/13/2006
Last updated
09/04/2013
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