Individual
EVIE VIVALDO-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
5807 N FIGUEROA ST, LOS ANGELES, CA 90042-4227
(323) 982-0999
(323) 982-0333
Mailing address
5807 N FIGUEROA ST, LOS ANGELES, CA 90042-4227
(323) 982-0999
(323) 982-0333
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
63818
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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