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Individual

RAMON HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
220 S BARNWELL ST, OCEANSIDE, CA 92054-4507
(619) 246-0561
Mailing address
2606 BONITA ST, LEMON GROVE, CA 91945-3106
(858) 525-5822

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A7688668
DRIVER LICENSE
CA
Enumeration date
02/10/2020
Last updated
02/10/2020
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